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Chain of Custody Number: <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento E] Additional documents are attached, and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: Parcel 2A <br /> Rancho Cordova,CA Location: 666 West Weber Avenue <br /> Stockton,CA <br /> Project#s 211602193.400.400 Task# Analysis Request <br /> Project Manager Dan Schreiner w <br /> Laboratory Kiff Analytical N _ F N o <br /> Turnaround Time 24 hr on MID-4C4 GW-EFF N °° m �' Li <br /> N N <br /> a a m m a <br /> + a r. <br /> C4 <br /> 117 CD dO N W d = W N N O C <br /> Sampler's Name ® '��� a w = a w m �? m a m w o v Q ¢ Q U <br /> �, moo _ <br /> 00 10 <br /> Sampler's Signature W 9 $ _ = m N �, W W W <br /> x a a - K a r a 3 �' o o Comments/ E <br /> Sample ID Date Time Matrix m w ui > (0 ° w w m ; Instructions z' <br /> GW-INF / <9 Water X X X 6 `�I <br /> MID-1 / s' Water X X X 6 <br /> MID-2 ® Water X X X 6 0� <br /> MID-3 ® Water X X X 6 <br /> MID-4 Water X X X b <br /> GW-EFF 7/ Water X X X X X X X X X 13 S <br /> Tri Blank / Water X X For GW-EFF, modify detection 2 p <br /> levels of; TBA(12 ug/L)and MtBE <br /> (5 ug/L). Also,see changes in <br /> testing methods for GW-EFF. <br /> Include Field Blank(EPA 524.2) <br /> Special Instructions/Comments Relinquished bya Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign Sign Total no.of containers: <br /> (Detection Limits: 0.5 Ng/L,5.0 Ng/L for TBA) PrintPrint chain of custody seals: <br /> T Metals: Cadmium/Chromium/Copper/Lead/Nickel2inc Company ,-cn=_ Company Recd in good condition/cold: <br /> v Time Date '? r" r Tim Date Conforms to record: <br /> c� <br /> EDF Deliverables Relinquished by: Received b <br /> o email results and EDF to: Sign Sign Client: Stantec <br /> CD jay.tanner@secor.com,erik.lawson@stantec.com Print Print Client Contact: Erik Lawson <br /> & brian.goss@stantec.com Com Company -z { Client Phone: (916)384-0761 <br /> T' a Date Time _L?XDate o 2rT« <br /> STANTEC CUSTREC Ra 2/89 / <br />