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3050 Industrial Blvd. <br />Engineeri <br />E.9w edng V <br />NM West Sacramento, CA 95691 '�l /� <br />S""-, Tel: 916.372.1434 Lab No. Page _ of ,L <br />W.11BC. "' comaaw Fax 916.372.2565 <br />WKA Carbon Copy addresses <br />irosenbery anwallace-kuhl.com <br />dnakamotona wallace-kuhl.com <br />Ones ❑No <br />California EDF Report? <br />Chain -of -Custody Record and Analysis Request <br />Project Manager (Hardcopy or PDF To): Dennis Nakamoto <br />WKA Email Address: dnakamoto@wallace-kuhl.com <br />Analysis of Request <br />Q <br />N <br />Company / Address: <br />see above <br />Recommended but not mandatory to complete this section: <br />Sampling Company Log Code: <br />o <br />a <br />f <br />d <br />w <br />o <br />N <br />w <br />Q <br />0 <br />18Hr <br />c <br />o <br />v° <br />a <br />o <br />LL <br />Phone No.: <br />see above <br />Fax No.: <br />see above <br />Global ID: <br />24 Hr <br />O <br />Project Number: <br />13221.02 <br />P.O. No.: <br />EDF Deliverable To (Email Address): <br />48Hr <br />Project Name: <br />Westlake Villages E, G, H, I, J <br />Sampler <br />Signature: <br />7�Hr <br />Project Address: <br />bamp <br />Ing <br />V,,>Confainer <br />I reserva 1 <br />a rix <br />Date <br />Time <br />v <br />T o <br />n <br />EE <br />N o 0o <br />0 <br />M o <br />p <br />= o = _ <br />w <br />� <br />° <br />1O 1< <br />Sample <br />Designation <br />2WK <br />O <br />els <br />X02.6 <br />c�5 <br />1271 <br />Relinquished by: <br />Date <br />7ilglT l <br />Time <br />��`� <br />Received by: <br />Remarks: <br />please send copy of report to jcoburn@wallace-kuhl.com <br />Relinquished by: <br />Date <br />Time <br />Received by: <br />Relinquished by: <br />Date <br />Time <br />Received by Laboratory: / �% <br />l l 2 / <br />Bill to: Wallace -Kuhl & Associates c/o <br />WKA Contact and swilliams@wallace-kuhl.com <br />�� v <br />