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 Dyes ❑No Chain-of-Custody Record and Analysis Request <br /> jrosenbery(a)wallace-kuhl.com California EDF Report? Project Manager(Hardcopy or PDF To): Dennis Nakamoto <br /> dnakamoto cDwallace-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 1�Hr <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 /> c <br /> 13221.02 48Hr o <br /> Project Name: Sampler v <br /> Westlake Villages E,G,H,I,J Signature: o 76r <br /> a <br /> Project Address: Sampling Kc)rftatner I Preservative a rix v <br /> K a <br /> o w 1O <br /> T LL <br /> m Q a 2WK <br /> Sample = o w W Q O <br /> NN � o o O O U) Q a o <br /> Designation Date Time v w� 0 N = z = _ � � Ooo � <br /> 2 <br /> I V <br /> FF <br /> Relinquish e by: Date Time Received by: Remarks: <br /> please send copy of report to jcoburn@wallace-kuhl.com <br /> Relinqui/s d b Date Time Received by: <br /> 4 <br /> Relinquished by: Date Time Received by Labo ory: /M Bill to:Wallace-Kuhl 8 Associates c/o <br /> (/v/ WKA Contact and swilliams@wallace-kuhl.com <br /> C-30 <br />