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Chain of Custody Number: 6374-5- <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento [] Additional documents are attached, and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#21756 <br /> Rancho Cordova,CA Location: 853 East Yosemite <br /> Manteca,CA <br /> Project# 77EL.21756.08 Task# 0410 Analysis Request <br /> Project Manager Damon Brown <br /> Laboratory Kiff Analytical W <br /> N <br /> Turnaround Time Standard V m <br /> *~' S <br /> Sampler's <br /> Name 0.,' ° <br /> a = m wa <br /> Uo <br /> Colin <br /> igarnSamplefs Sntue o W o ON <br /> 45 NJ <br /> r a s Comments/ <br /> Sample ID <br /> .20 Ua-1 <br /> {\ <br /> Instructions z <br /> SP2 ASCD 741x% ter+ Soil X X Please composite 4 into 1 4 O <br /> Tam °C Thorm.10# <br /> toll al <br /> Date-PMA-03— <br /> Tito Coolant prose oa U <br /> Special Instructions/Comments Relinqui/fPl�rji by: Received by: Sample Receipt <br /> Global ID#70607700549(SIRC) Sign C/�J Sign Total no.of containers: <br /> email EDD to colin.ryan@stantec.com Print Print Chain of custody seals: <br /> email lab report to patrick.herrtnann@stantec.com, Company g 1.y.C'C Ccmpa Rec'd in good condition/cold: <br /> damon.brown@stantec.com and Time g+co Date 1ft d8 Date Conforms to record: <br /> patriick.schiller@stantec.com Relinquished by: Received b <br /> Sign Sign Client: SECOR <br /> Print Print a,1 � Client Contact: Damon <br /> Comp Company ,� Client Phone: f916)861-0400 <br /> e Date Time _Date ext.230 <br /> SECOR CUSn EC Rev zae <br /> I <br /> Date: 7/Waf Page <br /> I <br /> I <br />