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LI <br /> Turnaround Time q � Mistw.lPO# <br /> Env ro- hem, Inc. Laboratories 0 Same Day / <br /> 1214 E. Lexington Avenue, 0 24 Hours � �; v <br /> 0 48 Hours LU <br /> Pomona, CA 91766 0 72 Hours z LU z v� <br /> Tel: (909) 590-5905 Fax: (909) 590-5907 O�heWeek(Standard) z � O <br /> CA-DHS ELAP CERTIFICATE#1555 o � cc <br /> o Lou- UJ <br /> LU <br /> SAMPLE ID LAB II] > A <br /> SAMPLING E t z Analysis Required COMMENTS <br /> _ _4 -z►-lz l 1, �' <br /> 20 —Zl b-1 O�19 2'�Gr o P <br /> o <br /> 1 ala <br /> a �1 <br /> I o y� ' o�i5o <br /> toil � d� 52 <br /> Zp -Zl t 00 ' <br /> -71 <br /> 35,-3(,1logo <br /> I <br /> Company Name: 5jt7 5( ! &0 P ject ontac Sampler' Si <br /> ��v►1nz�� C v — e. CIO V-t !`''1 <br /> Project Name/ID: <br /> Address: Tel' -Zqe, 74A.AK4Y'tat <br /> City/State/Zip: Fax' <br /> Relinquished by: M SILK' ff <br /> e Instructions for Sample Storage After Analysis: <br /> Relinquished by: -77 <br /> Date&Time: 0 Dispose of 0 Return to Client 0 Store(30 Days) <br /> 0 Other: <br /> Relinquished b : Date&Time: <br /> CHAIN OF CUSTODY RECORD <br /> ,6— <br /> LZj" 1��� WHITE WITH SAMPLE•YELLOW TO CLIENT Page of <br /> Date: _ <br /> T' <br />