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Chain of Custody Number: &-2_qq3 <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento Lf 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 211602385.500.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner p <br /> Laboratory Kiff Analytical <br /> to a r <br /> N <br /> Turnaround Time 24 hr on MID-4&GW-EFF N a m m a C <br /> a U F- a Z w <br /> e a yy CL <br /> WW <br /> q <br /> UJ r a U U 1A W T G N O <br /> Sampler's Name rt ev 4� _ a w = a w m a m w o a a a <br /> w I- CL w W °' <v m 8 w m O. a d o <br /> Sampler's Signature m t = d N W u, W <br /> a a a o o a a a m = o o � Comments/ <br /> Sample ID Date Time Matrix m I w ,- w > w w a G Instructions z <br /> GW-INF M,f9 /L iq y Water X X X 6 <br /> MID-1 0/" Water X X X 6 02- <br /> MID-2 <br /> lMID-2 "u1r91/ Water X X X 6 03 <br /> MID-3 fEl//`t'/ Water X X X 6 04 <br /> MID-4 10`19'` MA Water X X X 6 5 <br /> GW-EFF O / / Water X X X X X 8 <br /> Trip Blank a/v-s/ Water X X For GW-EFF, modify detection 2 0-1 <br /> levels of; TBA(12 ug/L)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 by', Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign 7 Total no.of containers: <br /> (Detection Limits: 0.5 Ng/L, 5.0 pg/L for TBA) Print 41#oo7 lerii?t Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Comparly '7'— Company Rec'd in good condition/cold: <br /> Time /b/C7 Date/0//9 / Time Date Conforms to record: <br /> T <br /> cQ EDF Deliverables Relinquished by: ceived by: <br /> CD email results and EDF to: Sign Sign Client: Stantec <br /> CD erik.lawson(cr�stantec.com Print Print ;M Client Contact: Brian Goss <br /> ° brian.gossCcDstantec.com Company Company a2� lient Phone: (916)384-0779 <br /> N Time Date Time &1�p Date/otR 12 <br /> Date: Page 1 of 2 <br />