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2021-07-13_GENERAL DOCUMENTS - M1980085
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2021-07-13_GENERAL DOCUMENTS - M1980085
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Last modified
1/11/2025 4:12:56 AM
Creation date
7/14/2021 6:17:39 AM
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Template:
DRMS Permit Index
Permit No
M1980085
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/13/2021
Doc Name
RE: Spill
From
Kilgore Companies
To
DRMS
Email Name
ACY
Media Type
D
Archive
No
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ALS Laboratory Group Chain-of-Custody anmerre �+NORDER 21 a(p b�{((p <br /> 225 C Dd-.Fon Cdm,ll C W alarada 524 e <br /> TF:(e001H31eff PH.(M)49Q1511 FX:(970)49 1523 1-2" <br /> A L S SAMPLER DATE - - PAGE 1 of <br /> PROJECT NAME e- wed-k,L PROJECT NO. \ _ TURNAROUND DISPOSAL By Lab or Return to Client <br /> FACILITY NAME EDD FORMAT <br /> FACILITY ID(API) PURCRASE ORDER <br /> COMPANY NAME p S BILL TO COMPANY <br /> SEND REPORT TO INVOICE ATTN TO <br /> ADDRESS6focib • O ADDRESS <br /> CITY I STATE I LP % CITY I STATE 123P <br /> PHONE cav` Y 7 - V PHONE <br /> FAX FAX <br /> E-MAIL r N E-MAIL <br /> Lab lD Field ID Matrix Sample Sample a Pros lc <br /> Dale Time 6ottiaa <br /> z S 2 <br /> 3 S Z6 2 23(J <br /> -Time Zo (Cirde): EST CST MST PST Mabi> O=of S•sai NS>•—11 sold W.water L-11q Ad E-eNtl F•filter <br /> For metals or anions,please detail snalytes below. ATU PRINTED NAME DATE TIME <br /> Comments: I PACKAGE Ietrl bN ) RELINQUISHED BY �_ Lf r� 0-- 2 <br /> LEVEL a(slwiasa oCl RECEIVED BY ,�,� ' 6, / <br /> LEVEL a ISM DC.toms) RELINQUISHED SY G'f-� j r(3 d <br /> LEVEL N(SH OC.f.— RECEIVED BY 3 Q re4W, <br /> RELINQUISHED BY <br /> Prsservatl-Key: I-HCI 2-HNO3 }H2SO4 4-N8OH 5-NaHSO4 7.011— 8-4 degrees C f}5035 RECEIVED BY <br />
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