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Eurofins TestAmerica, Sacramento <br />t'LI f]f S f15 <br />880 Riverside Parkway Chain of Custody Record <br />West Sacramento, CA 95605 <br />Phone[916]373-5600 Fax(9 16)372-1059 <br />Sampler Lab PM Carver TrarA,ng NoW coc NO <br />Client Information Richie Winn Evans,Lauren <br />Client comas Phone E-Mail:Page: <br />Pat McConnell 1(916)717-2353 iLauren-EvansaEurofinset.com Page t of <br />Company Jots is, <br />Stantec Consulting Services Analysis Requested <br />Addrass Due Date Requested: Preservation Codes- <br />9665 Granite Ridge Drive Suite 220 <br />s A-NCL M-Hexane <br />City TAT Requested(days): 6-NwUH N-None <br />Sen Diego <br />D-Nitric Acid P-Na204SState.Zip: Standard <br />CA,92123 <br />F-mom R-Na2SOo3 <br />Ptione. G•Amchiar S-H2SO4 <br />858-6334222 NDN ENFOS:Invoice Stantec APfcc P"McConPei l x H-Ascorbic Aad T-TSP Dodecahydraie <br />Email Won <br />v o I-.Ice U-Acetone <br />Pat"McConnell@stantec"oam Y 'E J-01 W alet V-MCAAnrn <br />Pmtect Name: Project#: v `o c K-EDTA W-pH 4.5 <br />7-Eleven Stare No.20632 185850910 n } ? <br />L-EDA Z-other ispecrfy) <br />Site: SSOW# E u 011ier' <br />4627 Da Vinci Drive,Stockton,CA rn u m O A v <br />a m r 0 v <br />Sample Matrix o in 2 <br />pa 4 E <br />Type <br />Sample tC=comp, 04 x, r = <br />F 5 ecia]knstructianslNote:Sam le Identification Sample Date Time G= rah er.n..w,••u, ua q- LL <br />e'- <br />M <br />N <br />Preservation Code: <br />Cl) <br />o ?P <br />TT <br />r? <br />C,—1 -- 1113 X If, X <br />I <br />1 <br />f <br />320.57359 Chaln of Ctrslad) <br />Possible Hazard Idearli+callon Sample Disposal{A fee may be assessed it samples are relafnea longer than}month) <br />1=1 <br />Non-Hazard <br />11 <br />Flammable Skin bill.. Poison B <br />1 <br />Unknown <br />1=1 [ <br />tad' lcal Refurn To Client Disposal By Lab © Archive For Months <br />Deliverable Requested I,11,III,IV,Other[specify] Special InslructionsICC Requirements: NO EDF REQUIRED <br />Empty Kit Relinquished by: Date: Time: Method or sh,pmem: <br />Refirxtulshed by DataiTima Company Roomed byDaterrmns Company <br />LrAff1Ccrp +I 3:fF' •G tZi i I"vv .t 4..1 F-'jlt f[{ <br />Relinquished by:DalaTime: Company Received by DalelTime Company <br />N <br />O Rolinq+Jished by:Dale!rlme Company Received by Dalemme Company <br />N <br />O Custody Seals Intact: Custody Seal No. Gooier Temperature(st`c and other Remarks: <br />CD A Yes A No <br />Ver 01 16:2019