Laserfiche WebLink
k J.R.Simplot Company SEND RESULTS TO ALL PARTIES-'LISTED BELOW. <br /> P.O.Box 198 <br /> Lathrop,CA 95330s <br /> zo9�85a-2511 Ryan Mock 209-858-641 <br /> Ryan.Mock r@Slmplot.carn <br /> Project 1D NA Project ATS Backwash Filter <br /> Name: <br /> Remarks: <br /> COLLECTED BY: Ryan Mock <br /> SPECIAL <br /> INSTRUCTIONS: <br /> (PD CAM 17-TTLCTURNAROUND. 72 Hotly <br /> ANALYSIS 8 Metal T X 17ME <br /> REQUESTED f� $T�tOUnfy <br /> ( ) Other;Note above in Sptcial Instructions.Section <br /> Sample ID Lab ID Collection Matrix Notes or Sample Map, Etc. <br /> Date <br /> Backwash Filter 11171.11 Solid <br /> Rul <br /> Rettnqutshed Date Remv d By; Date �8 i <br /> Time a Tkne <br /> 11 Relinquished By: Date Received By: Date <br /> i a lime a Tkne <br /> Relinquished 8y Date Received By: Date <br /> &Time a Tkne <br /> Send Sample To: Enviro-Chem, Inc. Laboratories N <br /> 1214 E. Lexington Avenue -- �� <br /> Pomona, CA 91766 ► -� Glrt � R'\ <br /> Ph: 909-590-5905 Ajg4T �/Vdvo rqj,\ <br /> Fax: 909-590-5907 STC( <br /> CA-DHS FLAP Certificate 91555 <br /> CHAIN OF CUSTODY RECORD tel <br /> 1 <br /> i <br />