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3050 Industrial Blvd. <br /> ngin—d <br /> Eeinasdnq _ <br /> Ad West Sacramento,CA 95691 <br /> sciances Tel:916.372.1434 Lab No. ` l " Page of _' <br /> Company Fax 916.372.2565 <br /> WKA Carbon Copy addresses Dyes ❑Ne Chain-of-Custody Record and Analysis Request <br /> 0rosenbery(o)wallace-kuhl.com California EDF Report? Project Manager(Hardcopy or PDF To): Dennis Nakamoto <br /> dnakamoto(a)wallace-kuhl.com WKA Email Address: dnakamoto@wallace-kuhl.com <br /> Company/Address: Recommended but not mandatory to complete this section: Analysis of Request Q <br /> Sampling Company Log Code: H <br /> see above Tr <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): 0 —'' <br /> 13221.02 48H r O <br /> Project Name: Sampler v <br /> Westlake Villages E,G,H,I,J Signature: o 7 Hr <br /> m o <br /> Project Address: 5annp Ing n alner Preservative a rix 0 <br /> O Q J <br /> t d 1OWK `o <br /> _T ry W U. <br /> O U <br /> O cl C <br /> Sample 0 M = o w w a OK <br /> O o o Oz M N U d a o U m <br /> Designation Date Time v m 0 N = z = _ to o 1 r <br /> �vZ <br /> l5 ":27 <br /> vqz <br /> SLS�� 122 C <br /> Relinquished by: Date Time Received by: Remarks: <br /> please send copy of report to jcoburn@wallace-kuhl.com <br /> Relinquished by Date Time Received by: <br /> Relinquished by: Date Time Received by La ratory: �/� Bill to:Wallace-Kuhl&Associates c/o <br /> r WKA Contact and swilliams@wallace-kuhl.com <br /> /5-30 '_;.--7 <br />