Laserfiche WebLink
Chain of Custody Number: 15'55z_ <br /> Z <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento El 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 211602385.600.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner w <br /> Laboratory Kiff Analytical a N <br /> O N N <br /> N F <br /> Turnaround Time 24 hr on MID-4&GW-EFF N N <br /> a v cO m + ¢� n <br /> N w a y 0 y w a = w a W) o <br /> U W O ' N N O O <br /> Sampler's Name C� a w x° a W � m m a m W a a a _° <br /> U) <br /> Sampler's Sig w m C b ``� w �`� a,N B N T w w w ° <br /> OD = - N 00 EO 2 (Q N N <br /> _ = a a °' x a =a a Comments/ <br /> Sample ID Date Time Matrix m � w v°i > C, ° w 0. w m Q o o J Instructions z <br /> GW-INF Water X X X 5 01 <br /> MID-1 Water X X X 5 UZ <br /> MID-2 00-D Water X X X 5 03 <br /> MID-3 Water X X X 5 Dq <br /> MID-4 OqSy Water X X X 5 Dj <br /> GW-EFF 00, ys Water X X X X X X X X X 17 (?(p <br /> Trip Blank Water X X For GW-EFF, modify detection 07 <br /> levels of; TBA(12 ug/L) and MtBE <br /> 15 ug/L). Also, see changes in <br /> testing methods for GW-EFF. <br /> Include Field Blank(EPA 524.2) IL <br /> 1 7— <br /> Special Instructions/Comments Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA 'gn Total no. of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) Pr' r Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Company Rec'd in good condition/cold: <br /> Time Date7'3T Ti Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received by: <br /> CD email results and EDF to: Sin Si n <br /> w 9 g t' Client: Stantec <br /> CD erik.lawson(d)stantec.com Print Print Client Contact: Brian Goss <br /> ° brian.goss(abstantec.com Coma Com an <br /> �, P p y Client Phone: (916)384-0779 <br /> N Date Time C)°I Date D23, tt3 <br /> Date: Page 1 of 2 <br />