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Chain of Custody Number: <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento D 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 /> OR <br /> Laboratory Kiff Analytical � N o ` <br /> Turnaround Time 24 hr on MID-4&GW-EFF N a m� Ln <br /> m a <br /> N W d U N w d O' LLl N N O O <br /> Sampler's Name n a X o M a w w <br /> O L b t0 N <br /> p s�7 a w x ,n Cl- @a� mam w n R a a a <br /> W F d w w °'off y p m a. d d <br /> Sampler's Signature m x N m; ; (n N w w w <br /> X X X a a r .@ `° x a i a a o o Comments! E <br /> � a. a m x C7 oN 0a as m x w m <br /> Sample Id ;% Date Time Matrix m w F- Cn > � Ln w w Q 2 3 Instructions z <br /> GW-INF C� /� /y'GWater X X X 5 pi <br /> MID-1 /j 3.5.E Water X X X 5 p Y <br /> MID-23,4 Water X X X 5 J 5 <br /> . MID-3 CS Z,4'l 3 7 Water X X X <br /> Water X X X 5 O� <br /> r GW-EFF LL923 ALI Water X X X X X C c) <br /> Trip Blank 3 Water X X For GW-EFF, modify detection 2 U� <br /> levels of; TBA(12 ug/L)and MtBE <br /> (5 ug/L). Also,see changes in <br /> esting 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 ug/L,5.0 pg/L for TBA) Print - f1�1_1 Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc panyCompa Recd in good condition/cold: <br /> ime /, S' Datepwrc Date Conforms to record: <br /> T EDF Deliverables Relinquished by: Received by:. <br /> v <br /> CD <br /> email results and EDF to: Sign Sign Client: Stantec <br /> erik.lawson(aDstantec.com Print Print Client Contact: Brian Goss <br /> obrian.gossCa�stantec.comCom Company Client Phone: (916)384-0779 <br /> N e Date Time _L(eg:LUate Q t <br /> 0 <br /> Date: Page 1 of 2 <br />