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3050 Industrial Blvd. <br />Ad West Sacramento, CA 95691 <br />Eeinasdnq _ <br />ngin—d <br />sdonces Tel: 916.372.1434 Lab No. ` l " Page of <br />Company Fax 916.372.2565 <br />WKA Carbon Copy addresses <br />0rosenbery(o)wallace-kuhl.com <br />dnakamoto(a)wallace-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 / Address: <br />see above <br />Recommended but not mandatory to complete this section: <br />Sampling Company Log Code: <br />o <br />m <br />O <br />J <br />ry <br />< <br />w <br />U <br />o <br />o <br />Q <br />d <br />W <br />U <br />C <br />a <br />m <br />r <br />Tr <br />—'' <br />O <br />v <br />J <br />`o <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 />48H r <br />Project Name: <br />Westlake Villages E, G, H, I, J <br />Sampler <br />Signature: <br />7 Hr <br />Project Address: <br />5amp <br />Ing <br />n alner <br />Preservative <br />a rix0 <br />Date <br />Time <br />O <br />v <br />o <br />m <br />_T <br />SO <br />O d <br />0 <br />o <br />0 N <br />M= o <br />Oz M N U d <br />= z=_ <br />w <br />a <br />o <br />to <br />1W <br />O <br />Sample <br />Designation <br />OK <br />1X <br />S4_ <br />i <br />L <br />l5 <br />":27 <br />td�4 <br />vqz <br />S2 � 5211�5-�"1�F(� <br />ytS 1 <br />Relinquished by: <br />Date <br />Time <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 La ratory: �/� <br />r <br />Bill to: Wallace-Kuhl & Associates c/o <br />lWKA Contact and swilliams@wallace-kuhl.com <br />/5-30 '_;.--i <br />