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/ '7 <br /> Chain of Custody Number: I�V <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 211402841.300.400 Task# Analysis Request <br /> Project Manager Dan Schreiner W C, <br /> Laboratory Kiff Analytical Q N N <br /> Turnaround Time 24 hr on MID-4& GW-EFF N aV m Ln m a r <br /> N a a U a x UJ m <br /> Ln LY W 0 U)11 S W W c C4 N o 0 <br /> Sampler's Name !^ w W a w m o c c a c w -n a a a <br /> Sampler's Signature ,f" sc _ _ � °� co J w w w <br /> w x x a a x a x a 'a ° o o ; Comments/ <br /> a as � 0 oN 0n. as m x m a, <br /> Sample ID Date Time Matrix m w rn > ID Lo w w Q _J Instructions z <br /> GW-INF Water X X X 6 <br /> MID-1 Water X X X 6 " L <br /> MID-2 / 1,25- Water X X X 6 <br /> MID-3 /i /i l?_zo Water X X X 6 t�1"rI <br /> MID-4 , 1 1 /,2/5 Water X X X 6 "7 <br /> GW-EFF VI / J,zoo Water X X X X X <br /> Trip Blank 7Water X X For GW-EFF, modify detection O <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 by: Received by. Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign ign Total no. of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 Ng/L for TBA) Print��,a,-.Z ��,�, d,, Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Company Recd in good condition/cold: <br /> Time /fid Date Date Conforms to record: <br /> cQ EDF Deliverables Relinquished by: Received by <br /> N, email results and EDF to: Sign Sign y� Client: Stantec <br /> N" brian.goss@stantec.com, erik.lawson@stantec.com Print Print v.` o r9` Client Contact: Erik Lawson <br /> o _ <br /> N & kristen.burba@stantec.com Comp Company ;cq Client Phone: (916)384-0761 <br /> _P1 U-01Date Time 155;0 Date og I I I <br /> STANTEC CUSTREC Rev2199 <br /> Date: g�i./o Page 1 of 2 <br />