Laserfiche WebLink
Chain of Custody Number: �V` 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 211602385.600.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner <br /> Laboratory Kiff Analytical v S <br /> Turnaround Time 24 hr on MID-4&GW-EFF N a u; m a <br /> N CL a U m a 2 W �0 <br /> N ui a �' w d v vi o <br /> / U w p N N O p <br /> Sampler's Name I� I`/ a w x° a w m m u °0 w �° a a a v <br /> n o o o v d <br /> Sampler's Signature ' w m t o "' w ; N J w w w <br /> W = = a a ° K a l a 'a N o o Comments/ E <br /> �- a as Of 0 oN Daaa m x iu d D <br /> Sample ID <br /> ODatteTime Matrix m � � w � v, > (0 Ln w w o. Instructions z <br /> GW-INF 3 3 Water X X X 5 �0MID-1 ,2 Water X X X 5 wMID-2 - �/ Water X X X 5 0) <br /> MID-3 CYZ(�13 J1,6 Water X X X 5 O� <br /> MID-4 /% � Water X X X 5 <br /> GW-EFF Z Water X X X X X /✓ <br /> Tri Blank C Water X X For GW-EFF, modify detection 2 p <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, DIPE, ETBE,TAME,TBA Sign Sign Total no.of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) Prinf3M�s Print Chain of custody seals: <br /> Tails: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Pc Company Rec'd in good condition/cold: <br /> � <br /> Time c, Date C`I'7,:�13 Time Date Conforms to record: <br /> E1QF Deliverables Relinquished by: Ft6ceived b <br /> email results and EDF to: Sign Sign Client: Stantec <br /> erik.lawson stantec.com Print Print / Client Contact: Brian Goss <br /> rian.goss(a)stantec.com CompanyCompan Client Phone: (916)384-0779 <br /> Time-.---- ' Date Time ( '/ e <br /> Date: Page 1 of 2 <br />