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I i I I I I I t I I I I I I 1 I I I <br /> C2 <br /> 3050 Industrial Blvd. <br /> W a I l a e e K u h l West Sacramento,CA 95691 / / <br /> Tel.916.372.1434 Lab No. Page of <br /> E n s s c c i n - E s i N c Fax 916.372.2565 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑yes p No Chain-of-Custody Record and Analysis Request <br /> Ben McLemon <br /> Company/Address: Reoosso odea cm not m ndatory to complete this servos: Analysis Request F- <br /> Q <br /> Sampling Company Log Code: F- <br /> see above 12OHr <br /> Phone No.: Fax No.: Global ID: m <br /> 8 8 24 Hr <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): $ O T <br /> 5279.03 bmclemon wallace-kuhl.com v 48Hr o <br /> Project Name: Sampler < a O d <br /> w <br /> Turner Road Vintners Signature: w R 72 Hr <br /> Project Address: 5arnp Ing Container I PreservativelMatrix _ `m O m <br /> o 1 WK o` <br /> Lodi O <br /> J 2 a O <br /> O w n a m rKK <br /> Sample g w a E m o i - w <br /> w <br /> Designation Date Time o m - vim, ¢ i M 4 z 3 w z 1 o L7 rn <br /> MW1 lZ .2 Dy 2 x x x x x x x 5Day <br /> MW2 lL 2#11i z x x x x x x x 5 Day <br /> MW3 T 2�1 �0 2 x x x x x x x 5Day <br /> 5Day AtA D T <br /> MW5 Q (O OD z x x x x x x x spay <br /> inq hed b : 1—.—rrr # <br /> Date Time Received by: Remarks: <br /> 1� r2 Mb <br /> Relinquished by: Date Time Received by: <br /> Relinquishetl Dale I Time Rec i d or o Bill to: <br /> 0Albd✓�1'I aC/ <br />