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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 Analytical W `4 "- <br /> co <br /> Turnaround Time Standardm a �, m o <br /> m o <br /> Sampler's Name J,9 ' w w = a > a X C4 V In <br /> Q1 is m a a ¢ U <br /> F- a '° w u o m o cu m r- 'o a w a a ° <br /> Sampler's Signature �� _ u ° N Cn w w <br /> r°° �' Comments/ <br /> x x x a a@ - - >_ � X a � o o Instructions z <br /> Sample ID. Date Time Matrix a N a a a ° o o N m o n N o a x d <br /> F co F H W F a c0 CO 2 cD (n co N W G F F <br /> SV-INF Mi 3;1 ; a"E Air X 1 02 <br /> SV-INF2 0�_A)_5 Air X 1 Ocj <br /> SV-INF3 'S�/ 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 �1 Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc C any Comp Rec'd in good condition/cold: <br /> Time /5,'.SS� Date T' Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received to4e — <br /> T email results and EDF to: Sign Sign Client: Stantec <br /> erik.lawson(a-)stantec.com Print Print ts f Client Contact: Brian Goss <br /> CD brian.goss(aDstantec.com Comp Company Client Phone: (916)384-0779 <br /> � Ti a Date Time _L(a!o2 Vate <br /> 0 <br /> CD Date: Page 2 of 2 <br />