Laserfiche WebLink
Enviro-Chem, Inc. Laboratories Turnaround Time me Day �; MISC./P0# <br /> 0 s <br /> 1214 E. Lexington Avenue, 21 <br /> u <br /> Pomona, CA 91766 <br /> 0 48 Hours w`• <br /> 0 72 Hors ,� <br /> Tel- (909) 590-5905 Fax: (909) 590-5907 0 1 Week(Standard) z I ^ ' ��c j' <br /> Other: <br /> CA-DHS ELAP CERTIFICATE #1555 <br /> X LL. Lu 1.4, <br /> O a_ LI) <br /> UJ <br /> SAMPLE ID I_l-H ID Q o w Analysis Required COMMENTS <br /> J[rH'I� -IME z �- Cl- <br /> 64LCY1 <br /> - <br /> --- I __1._. Z -- <br /> �1_._.. iFO <br /> _ Z4_ )t!5� S�l m <br /> -- <br /> Company Name: Project Contact: / Sampler's Signature: <br /> Address: s Tet; Pr fect Name/lD <br /> CitylStatetZip . �� ". r Eaxlefiail; �/ �� d 2— <br /> A S , <br /> : : <br /> Relinquished b ,� _ i Received ''�' " ` <br /> q Y • J?� -�' '� �� �� Date&Tim Q/_' _ ctions for Sample Storage After Analysis: <br /> RelingUis Received by: Date Time V2 rvl`t— X Dispose of O Return to Client O Store(30 Days) <br /> 1 <br /> Relinquished by: Received byO Other: <br /> : !� Date&Time /y�4._: <br /> CHAIN OF CUSTODY RECORD <br /> Date: _ WHITE WITH SAMPLE•YELLOW TO CLIENT Page—/—Of_� <br />