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Chain of Custody Number: �lJ�v <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento El 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 S ` <br /> Turnaround Time 24 hr on MID-4&GW-EFFCL U N a m m a n <br /> .n w a w w d v of o <br /> U w p N N O p <br /> Sampler's Name �/� �/ a w x° a w m i��a m a m w 2 ° a a a v <br /> rn o o v d <br /> Sampler's Signature �f x m tz _ _ � 4 o m CO N N w w W <br /> ' Comments/ <br /> a a ¢a cr 0 oCJ0 ¢aa ¢a m x m O O � <br /> Sample ID Date Time Matrix m w m > w w 0. f Instructions z <br /> 1 GW-INF Water X X X 5 0 1 <br /> MID-1 051-Z " 17 Water X X X 5 w <br /> MID-2 C Z .'/5 Water X X X 5 D) <br /> MID-3 CyZ 13 11,6 Water X X X 5 D 1 <br /> MID-4 Water X X X 5 <br /> GW-EFF ;4Water X X X X X /✓ <br /> Trip Blank Water X X For GW-EFF, modify detection 2 p <br /> levels of; TBA(12 ug1L)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) Prin Print Chain of custody seals: <br /> Itals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Pc Company Rec'd in good condition/cold: <br /> cQ Time LO Date C V(.3 Time Date Conforms to record: <br /> CD EBF Deliverables Relinquished by: eceived 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 Company Compan Client Phone: (916)384-0779 <br /> Time Date Time (�'/ e <br /> Date: Page 1 of 2 <br />