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Industrial Blvd. <br /> West Sacramento,CA 95691 <br /> WALLACE-KOHL Tel:916.372.1434 Lab No ��- <br /> &ASSIOQUEs INC_ . Page of Fax:916.372.2565 _ _- <br /> Project contact(Hardcopy or PDF To): <br /> Darcie Forma California EDF Report? Yes No <br /> Chain-of-Custody Record and Analysis Request <br /> � ❑ <br /> Company/Address: Recommended but not mandatory to complete this section: Analysis Request ~ <br /> Sampling Company Log Code: H <br /> see above WKAS <br /> Phone No.: Fax No.: Global ID: 122Hr <br /> 372-1434 SL0002050097 <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): 24 Hr <br /> 6278.03 ma wallace hl.f 0 a <br /> Project Name: E <br /> Sampler OMorton Op.unit Signature- <br /> Co O <br /> N <br /> Project Address: amp Ing Container--PreStarvative a rix N° N 0 72 Hr a <br /> o O <br /> Stockton �} v o a7 1 WK J <br /> C o �, a w -J `� a s w O LL <br /> Sample > � o °- W WOW N o N 2 <br /> o 2WK <br /> E W 2 E m o z 1/N I- w x c� a o > <br /> Designation Date Time o a = _ z z < o m 1 o o X X ° o <br /> MW6 11/14/2006 @ ' 6 1 2 X X X X X X X X X X X X X <br /> 1WK <br /> 2AMW-15 11/14/2006 f Z / 6 1 2 X X X X X X X X X X X X X <br /> 1WK <br /> 2BMW-1 11/14/2006 fl 3S' 6 1 2 X X X X X X X X X X X X X <br /> 1WK <br /> RN1 11/14/2006 f L-J .. 6 X X X X X X X X <br /> 1WK <br /> RN2 11/14/2006 �LUf 6 X X X X X X X X <br /> 1WK <br /> Reli 5 e by: t Date Time Received by: Remarks: <br /> ILL <br /> Relinquished y: �Date Time Received by: <br /> Relinquished by: Date Time Received by Laboratory: / ill to: <br /> a7o5�7 j <br /> w <br />