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Chain of Custody Number: V <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento E3 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 a o w <br /> Laboratory Kiff Analytical w00 <br /> Turnaround Time Standard w a e 6 + o <br /> co 0 <br /> w � i3 � > oma ; a w <br /> Sampler's Name TJGY LU x o a 6 -d - „ m a <br /> @vim' a "' w > o rno mo 5 co a w a a `o <br /> Sampler's Signature m m t o 4) N � o ° N N y w w <br /> p 9 =o = = co a a e ! o --L 00 si a o o Comments/ <br /> a. C4 a as ° o aN @o (DN x d <br /> Sample ID Date Time Matrix w a 0 > x (D W ( w a G G Instructions z <br /> SV-INF / b Air X 1 0? <br /> SV-INF2 �l /7 / Air X 1 �' <br /> SV-INF3 711.-3111 1059 Air X 1 (0 <br /> SV-INFCOMB / Air X 1 �, <br /> Special Instructions/Comments Relinquished by: Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign Sign Total no. of containers: <br /> (Detection Limits: 0.5 ug/L, 5.0 ug/L for TBA) PriPrint Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Tb,77-ce Comp Recd in good condition/cold: <br /> Time /_Date ,, T' Date Conforms to record: <br /> T EDF Deliverables Relinquished by: Received <br /> v email results and EDF to: Sign _ Sign Client: Stantec <br /> cD jay.tanner@secor.com, erik.lawson@stantec.com Print Print n.. Client Contact: Eri awson <br /> & brian.goss@stantec.com Com Company f �. Client Phone: (916) 384-0761 <br /> o Ti -e Date Time / 5 3 Date g/ <br /> w <br /> CD Date: 'f�/!2 Page 2 of 2 <br />