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Enviro-Chem, inc. Laboratories Turnaround Time Q <br /> 1214 E. Lexington Avenue, o 24 Hosamewe Q Misc./PO# <br /> Pomona, CA 91766 ° 7i Sas <br /> Tel: (909)590-5905 Fax: (909) 590-5907 1 vvaek(slandard) <br /> CA-DHS ELAP CERTIFICATE#1555 a <br /> x LL � Lu <br /> SAMPLE ID LAB 1Q. SAMPLING ¢ o . w <br /> DATE TIMETIMEZ 0-1 Analysis Required COMMENTS <br /> / GS/7, - 3 /0" 5uLr9 <br /> :ompany Name: Project Contact: Sampler's Signature: • <br /> L 7A &C, <br /> 4ddress: <br /> Tel: Project NamellD: <br /> :itylstatemp: <br /> Fax: _ _ <br /> lellnqulshed by: ��/ !' lj t ( D_C Fr Receive b Oa Instructions for Sample Stora a After Mal sls: <br /> 2elinquished hyr / Received by: Dale gTyfe; 0 plepose of 0 Re°rt m GI nt St«e(30 Days) <br /> Jelin uished by: Received b : <br /> Dale Bihna: ":�eTre'^,:. <br /> �,// CHAIN OF CUSTODY RECORD <br /> ale: WWTE WITH LE.YELLOW TO CLIENT of <br />