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Turnaround Time ' J <br /> Enviro-Chem, Inc. Laboratories 0 Same Day ;r' { Misc./PO# <br /> 1214 E. Lexington Avenue. <br /> 0 24 Hours U1 ? <br /> Pomona CA 91766 0 4"22 Hours w F <br /> 0 Hours � <br /> Tel: (909)590-5905 Fax: (909) 590-5907 ,� Week{Standard) o �� <br /> z <br /> � Q �n <br /> CA-NHS FLAP CERTIFICATE #1555 . cr <br /> a Q <br /> SAMPLE ID LAB ID SAMPLING � Analysis Required COMMENTS <br /> DATE TIME z ILLI F a <br /> _ I <br /> - - <br /> Company Name: Project Contact:' Sampler's Signature: <br /> Enviro-Chem, Inc Curtis Desilets <br /> Address: 1214 E. Lexington Avenue <br /> Tel: 909-590-5905 Project NameIID: <br /> City/State/Zip: (t?p 8 5 Fax.Ig(1�1!;Dtivirocheminc mail.com <br /> t s ! <br /> Relinquished by: Received by: ( � ] Date&Tirro: [I Instructions for Sample Storage After Analysis: <br /> - 0 Dispose of 0 Return to Client O Store(30 Days) <br /> Relinquished by: ^��'-- _yi��=� Received by: Date& G3� P <br /> 0 Other: <br /> Relinquished by: Received bs : Date&Time: �' l -c <br /> CHAIN OF CUSTODY RECORD <br /> Date: WHITE WITH SA,\4PLE.YELLOW TO CLIENT Page of,—_ <br />