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Enviro-Chem, Inc. laboratories Tumaround Time <br /> 1214 E. Lexington Avenue, 0 244HHwssy _ Misc./Pp# <br /> Pomona, CA 91766 e de HWn w D <br /> 0 72 Hours Z <br /> Tel: (909)590-5905 Fax: (909)590-5907 0 1 Week(Siandwo �t r o <br /> CA-DHS ELAP CERTIFICATE#1555 x <br /> SAMPLE ID Lqg tp SAMPLING < g w <br /> DATE TIME M z �" a Analysis Required COMMENTS <br /> \ X � <br /> Company Name: Project Contact: Sam s SI ature: <br /> �. <br /> Address: 22�02 <br /> Tel Project Name/10 <br /> City/State/Zip: t. Fax/Email• �L*- �-D ��\\ —S�oCVVY) <br /> Relinquished by: Received by: t Instructions for Sample Stora After Analysis: <br /> Relinquished by: Received by: Owe Tme o Dispose or o Return to crop, n Sim(30 Days) <br /> Relin uished b : Received b : o Other. <br /> Dak b Tkre: <br /> CHAIN OF CUSTODY RECORD <br /> Oate: <br /> WMTE PATH SAMPLE•YELLOW CLIENT Page + of <br />