Laserfiche WebLink
Industrial Blvd. <br /> Wes <br /> A`'"'"°"°' West Sacramento,CA 95691 <br /> Engmueriny <br /> s"en"es Tel:916.372.1434 Lab No. Page of <br /> company Fax:916.372.2565 <br /> WKA Carbon Copy addresses Des ❑No Chain-of-Custody Record and Analysis Request <br /> irosenbery(a)wallace-kuhl.com California EDF Report? Project Manager(Hardcopy or PDF To): Dennis Nakamoto <br /> dnakamotoCa)wallace-kuhl.com WKA Email Address: dnakamoto@wallace-kuhl.com <br /> Company I Address: Recommended but not mandatory to complete this section: Analysis of Request Q <br /> Sampling Company Log Code: H <br /> see above 16r <br /> Phone No.: Fax No.: Global ID: <br /> see above see above 24 Hr <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): O —' <br /> 13221.02 4 Hr o <br /> Project Name: Sampler n <br /> Westlake Villages E,G,H,I,J Signature: o 76r <br /> a <br /> Project Address: bampling n alnef Preservative a rix a <br /> a r2WK oSample F _ w wa o o O 0 Oo Q <br /> Designation Date Time v w Go N � = z i = u � � o �0 <br /> 25.A �ll�i(t i <br /> 112z15 <br /> �26�- 2 A S2�A (230 <br /> 5VA I24- <br /> A <br /> Relinquiby: Dat Time Received by: Remarks: <br /> I/�( 1(S So please send copy of report to jcoburn@wallace-kuhl.com <br /> Relinq s Date Time Received by: <br /> Relinquished by: Date Time Received by Lab ratory: ABill to:Wallace-Kuhl 8 Associates c/o <br /> WKA Contact and swilliams@wallace-kuhl.com <br />