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Chain of Custody Number: <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 <br /> Laboratory Kiff Analytical � N o <br /> Turnaround Time 24 hr on MID-4&GW-EFF N a m Ln m a <br /> IN W d U (� N w d O' LLl N N to O O <br /> Sampler's Name ,a 1 a x o a w d w <br /> O L i0 t0 N <br /> p s�7 a w = Ln a m a'° m 0. w n R a a a <br /> W F d w w a'o� y p m d d a <br /> Sampler's Signature m t x N m; w w W w <br /> X i i a a@ `° K a =a a o o A Comments/ <br /> a a s w 0 o N D a a s m x w m <br /> Sample ID, Date Time Matrix m I w Cn > � Ln w w Q I.- _J Instructions z <br /> GW-INF /y'C S Water X X X 5 p i <br /> MID-1 4s/3 353' Water X X X 5 p <br /> MID-2 Water X X X 5 J 5 <br /> MID-3 CS'24'/3 Water X X X 5 0 <br /> MID-4 Water X X X 5 O� <br /> r GW-EFF G '/ Water X X X X X C c) <br /> Trip Blank /Iz 3 Water X X For GW-EFF, modify detection 2 U7 <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 Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPS, ETBE,TAME, TBA Sign Sign Total no.of containers: <br /> (Detection Limits: 0.5 Ng/L, 5.0 pg/L for TBA) Print - /�hr�� Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc pany Compa Recd in good condition/cold: <br /> ime / S' Date Date Conforms to record: <br /> T EDF Deliverables Relinquished by: Received by:. <br /> w <br /> o email results and EDF to: Sign Sign Client: Stantec <br /> CD <br /> erik.lawson a()stantec.comPrint Print Client Contact: Brian Goss <br /> 0 <br /> 0° brian.gossastantec.com Com Company Client Phone: (916)384-0779 <br /> N e Date Time Ueg ate Q i <br /> 0 <br /> Date: Page 1 of 2 <br />