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0 <br /> Chain of Custody Number: <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento LJ 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 AnalyticalW `4 "- <br /> co <br /> Turnaround Time Standardm a 2 (nm o <br /> o <br /> —^ w .� > C4 V <br /> oU � o Q C4 C4 o <br /> Sampler's Name _�/� i�. 7 X x o a o M o U 6 m „� a a Q U <br /> H F d H w U p 21 N o `° o N io v W 0- <br /> 1 <br /> d O <br /> Sampler's Signature �� m 00 t o N o ° N T o N W W Comments/ <br /> s _ = a a E `° `° 8 °' 0 `° " a o o Instructions z <br /> aN a a a � o0 o �v mo mNOa x d <br /> Sample ID.% Date Time Matrix � „ W a > z W LO W a 2 <br /> 000 <br /> SV-INF Air X 1 <br /> SV-INF2 0�1 A)_5 ,2:J Air X 1 �� <br /> SV-INF3 'i�/ 3 /�.' Air X 1 `� <br /> SV-INFCOMB '' 3 1Z'Z Air X 1 / <br /> Special Instructions/Comments Relinquished y: Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME,TBA Sign Sign Total no.of containers: <br /> (Detection Limits: 0.5 pg/L,5.0 pg/L for TBA) Print Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc C any Comp Recd in good condition/cold: <br /> Time Date e!�>�Z / T' Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received �I,�-- <br /> T email results and EDF to: Sign Sign y� Client: Stantec <br /> merik.lawson(a-)stantec.com Print Print �S Client Contact: Brian Goss <br /> brian.goss(aDstantec.com Comp Company Client Phone: (916)384-0779 <br /> � Ti a Date Time Vate <br /> 0 <br /> CD Date: Page 2 of 2 <br />