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,Enviro-Chem, Inc. Laboratories 0 ame TSarneDundTime Misc. <br /> Day <br /> 1214 E. Lexington Avenue, o 4Hours <br /> Pomona, CA 91766 49 Hours w a <br /> 0 2 Hour. z <br /> Tel: (909) 590-5905 Fax: (909) 590-5907 0 1 Week(Standard) �c <br /> CA-DHS FLAP CERTIFICATE#1555 other: o < <br /> X U_ <br /> SAMPLE!D SAMPLING <br /> LAB ID DATE TIME < 0 .Analysis Required COMMENTS <br /> t - -� 0 0 A-7 <br /> x. <br /> fg D <br /> Company Name: �,. Project Contact: Sam pl i atur _ <br /> Ro � R�Nst�,� . <br /> Address: F306 U I I(A Avc `j-� Tel: 10� 4Y %7 1 t'0 Project Name/ID: <br /> p ( sYP <br /> Cityt$tatelZip: �1 lw& t u(urtd,, ,, (A n 11�0 Fax: q O� I( �r WA <br /> Relinquished Received by: Date&Time_ t o,ls, Instructions for Sample S Drage After Analvsis: <br /> 0 Dispose of 0 Retum to Client 0 Store(30 Days) <br /> Relinquished by: Received by: Date&Ti e: 6,V/0 <br /> �~ 0 Other: <br /> Relinquished by: Received by: Date a Ti <br /> CHAIN OF Cud dY RECORD <br />