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SEND RESULTS TO ALL PARTIES LISTED BELOW. <br /> Mn Ryan Mock 209-856-6404 <br /> Ryan.Mock@Simplot.com <br /> J.R. Simplot Company <br /> P.O. Box 198 <br /> Lathrop,CA 95330 <br /> 209-858-2511 <br /> Project ID Project <br /> Name: 2 I Ur ✓c <br /> Remarks: <br /> COLLECTED BY: I� <br /> SPECIAL <br /> INSTRUCTIONS: <br /> CAM 17-TTLC TURNAROUND 72hrs Standard Rate <br /> ANALYSIS { ) 8 Metal TCLP TIME ( ) 48hrs <br /> REQUESTED STLC L! C K ( ) 24hrs <br /> { ) Other,Note above in Special Instructions Section ( ) Same Day <br /> Sample 1D Lab lD Collection Matrix Notes or Sample Map, Etc. <br /> Date <br /> P--I Z P—y 04Z/N/09 550 6 Cd <br /> Sct-� b t cC 711glo 1, . <br /> Relinquished Bye Dale Received By: Date <br /> &Time ��ya &Time <br /> Relinquished By: Dale Received By: Date <br /> &Time &Time <br /> Relinquished By: Date Received By: Date <br /> &Time &Time <br /> Sena Sample To: Enviro-Chem, Inc. Laboratories <br /> 1214 E. Lexington Avenue <br /> Pomona, CA 9176+6 <br /> Ph: 909-590-5905 <br /> Fax: 909-590-5907 <br /> CA-DHS FLAP Certificate#1555 <br /> CHAIN OF CUSTODY RECORD <br />