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Chain of Custody Number: Z, <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 w <br /> Laboratory Kiff Analytical a N <br /> co N N <br /> N f <br /> Turnaround Time 24 hr on MID-4 8� GW-EFF N N <br /> a v cO m + ¢� n <br /> ,Nn w a y H w a = w a L o c <br /> U w O N N O <br /> Sampler's Name C� a w x° 2 as w � m m w m `° `° N ° <br /> ,� a w a a a <br /> Sampler's Sig w m t 9 w W a �,° o 4 m 2 w w w ° <br /> co = — N co co (Q N N <br /> _ = a a x a =a a - Comments/ <br /> Sample ID Date Time Matrix m w F- U)i > (0 ° w - w m Q 2 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 pu7 Water X X X 5 <br /> MID-3 Water X X X 5 0q <br /> MID-4 OqSy Water X X X 5 pj <br /> GW-EFF og 1/5 Water X X X X X X X X X 17 ()Q <br /> Trip Blank Water X X For GW-EFF, modify detection �7 <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 Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA 'gn Total no. of containers: <br /> (Detection Limits: 0.5 pg1L, 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 Date _ Ti Date Conforms to record: <br /> T <br /> EDF Deliverables Relinquished by: Received by: <br /> W email results and EDF to: Sign Sign �' Client: Stantec <br /> erik.lawson(a)stantec.com Print Print Client Contact: Brian Goss <br /> ° brian.goss(a-stantec.com <br /> ��mp�a Com an <br /> G, p y Client Phone: (916)384-0779 <br /> N Date Time Cn Date t <br /> Date: Page 1 of 2 <br />