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Enviro-Chem, Inc. Laboratories Turnaround Time ff <br /> 0 Same Day Tip � U � <br /> Misc./PO# <br /> 1214 E. Lexington Avenue 0 24 Hours m v t <br /> Pomona CA 91766 48 Hours w © N CO <br /> 0 72 Hours z C � ^ cr <br /> Tel: (909)590-5905 Fax: (909)590-5907 0 1 Week(Standard) z o c", (1 ov � <br /> CA-DHS FLAP CERTIFICATE#1555 X 0 cc ccje: + <br /> Ir 0 SAMPLING 2 w <br /> SAMPLE ID LAB ID DATE TIME z cc <br /> Analysis Required COMMENTS <br /> Soil, Oil, Rock _ Solid 1 None X X1 K X <br /> r <br /> lit <br /> r <br /> Company Name: Worldwide Recovery Systems Project Contact: Juan Gomez Sampler's Signature: <br /> Pomona230 Boulevard - Project Nam <br /> Address: Tel: ICk N Pu <br /> City/State/Zip: Pomona, CA 91768 Fax/Em @ 86690Waste.com <br /> 5 <br /> *.' _-1 „. <�Vii"` .✓. - <br /> Relinquished by: ` "' ' �_. Received by: 7 Ba a. 7T t f� Instructions for Sample Storage After Analysis: <br /> Relinquished by: Received by: Date&Time: 0 Dispose of 0 Return to Client 0 Store(30 Days) <br /> 0 Other: <br /> Relinquished by: Received b : Date&Time: <br /> CHAIN OF CUSTODY RECORD <br /> Date: WHITE WITH SAMPLE-YELLOW TO CLIENT Pages o¢ <br />