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3050 Industrial Blvd. <br />A'JniVB`s°' West Sacramento, CA 95691 <br />Eneineeriny <br />s�:en es Tel: 916.372.1434 Lab No. -7 Page of <br />Gom PanY Fax: 916.372.2565 <br />WKA Carbon Copy addresses <br />irosenberv(a)wallace-kuhl.com <br />dnakamoto(a)wallace-kuhl.com <br />Dues [:]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 />o <br />L <br />a <br />W <br />U <br />o <br />Q <br />a <br />W <br />V <br />Q <br />p <br />Tr <br />'' <br />c <br />O <br />n <br />n <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 />O <br />Project Number: <br />13221.02 <br />P.O. No.: <br />EDF Deliverable To (Email Address): <br />4 Hr <br />Project Name: <br />Westlake Villages E, G, H, I, J <br />Sampler <br />Signature: <br />7 Hr <br />Project Address: <br />Samp <br />Ing <br />r <br />,CodWnerPreserva <br />Ive <br />a rix <br />Date <br />Time <br />�° <br />O <br />v <br />O <br />H <br />T <br />T O <br />°a <br />E O E <br />, 0o <br />o <br />OZ 0 N U N <br />= z = _ <br />W <br />F <br />Q <br />J <br />O <br />to <br />10W K <br />Sample <br />Designation <br />2WK <br />O <br />12Lf- <br />no <br />RelinquishedbyJ <br />/ Y. <br />j <br />/Date <br />7/I �(� ( <br />Time <br />Received by: <br />Remarks: <br />please send copy of report to jcoburn@wallace-kuhl.com <br />Relinqu' by. <br />Date <br />Time <br />Received by: <br />Relinquished by: <br />Date <br />Time <br />Received by Laboratory: /� <br />j/ <br />Bill to: Wallace -Kuhl & Associates c/o <br />WKA Contact and swilliams@wallace-kuhl.com <br />