Laserfiche WebLink
3050 Industrial Blvd. <br />fvef1"' West Sacramento, CA 95691 <br />s< es Tel: 916.372.1434 Lab No. 00 Page of <br />Fax: 916.372.2565 <br />WKA Carbon Copy addresses <br />jrosenbery(a)wallace-kuhl.com <br />dnakamoto cDwallace-kuhl.com <br />Dyes ❑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 />H <br />Company I Address: <br />see above <br />Recommended but not mandatory to complete this section: <br />Sampling Company Log Code: <br />o <br />v <br />a <br />W <br />a <br />o <br />u� <br />N <br />Q <br />o <br />F <br />1�Hr <br />21 <br />o <br />N <br />a <br />a <br />LL <br />Phone No.: <br />see above <br />Fax No.: <br />see above <br />Global ID: <br />24 Hr <br />0 <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, JDSignature: <br />Sampler <br />7�Hr <br />Project Address: <br />Sampling <br />Kc)rftatner <br />I Preservative <br />a rix <br />�° <br />NN� <br />v <br />m <br />w� <br />T o <br />Q 1 <br />Sample <br />E <br />o o <br />0 N <br />c - o <br />O O U) <br />= z = -1: (D <br />w <br />Q <br />o <br />10 K <br />Designation <br />2WK <br />O <br />GDate <br />c�Time <br />yo S�i�-5i2 <br />9 q <br />Relinquish' e <br />Date <br />1/t4/b I <br />Time <br />{ <br />Received by: <br />Remarks: <br />please send copy of report to jcoburn@wallace-kuhl.com <br />Relinqui/s d b <br />4 <br />Date <br />Time <br />Received by: <br />Relinquished by: <br />Date <br />Time <br />Received by Labo ory: /M <br />(/ v/ <br />Bill to: Wallace -Kuhl & Associates c/o <br />WKA Contact and swilliams@wallace-kuhl.com <br />1 C-30 <br />