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Turnaround Time Enviro-Chem, Inc. Laboratories 0 Sarne Day <br />1214 E. Lexington Avenue, 0 24 Hours <br />0 48 Hours Pomona, CA 91766 0 72 Hours <br />Tel: (909) 590-5905 Fax: (909) 590-5907 ' Week (Standard) <br />CA-DHS ELAP CERTIFICATE #1555 <br />X <br />t-- <c <br />4, M No. OF CONTAINERS I a <br />.1 iii I <br />1.1.1 z <br />IL: <br />: 11:3 1;1/Z II / /111°114 <br />cc cc i UJ w ? <br />iS0./P10# <br />SAMPLE ID LAB ID I SAM RUNG <br />DATE TIME <br />O. a) <br />w 1.1.1 cc i-- ci... Analysis Required <br />— <br />COMMENTS <br />Du..m.c. cuiVei-i- ___ - )1516 Ts.s-2‘) s.00tin) ,sokok i <br />1,-csid .. ./-'-- <br />, 1 <br />_ <br />_ <br />, <br />Company Name: <br />Ft•Ol IR-01,-1V4EISVAL. 7. CIA 01 (CA L COWstfi...-1- IN.14 I k,1 c . <br />Project Contact: <br />110( bier2). <br />Sam <br />r...._ <br />er Signature: <br />al—ei)/s., <br />Address: P. 0 . Box. -2(.0; Tel: teU -14 k cl- 3V1'2,-- Project Name/ID: <br />City/State/Zip: CAZ.VSIGN 6 , C/ 012,3 Z.S" 1 <br />0 Qf,JC Tiell 0 cliuk-t- <br />Fax/Email: oN i a I pae,-et:G1 DC -LA Sin-c? <br />Relinquished by: -----C---' Received by: r -V( 1---rSttX411).0-‘27- Instructions for Sample Storage After Analysis: <br />Relinquished by: <br />/ <br />Received by: Date & Time: <br />r • --. 0 Dispose of 0 Return to Client .k Store (30 Days) <br />Relinquished by: Received by: _ Date S Titre <br />0 Other: <br />Date: <br /> <br />CHAIN OF CUSTODY RECORD <br />WHITE WITH SAMPLE • YELLOW TO CLIENT Page of <br />