Laserfiche WebLink
Chain of Custody Number: <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento EJ 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 <br /> Laboratory Kiff Analytical <br /> Turnaround Time Standard <br /> m w�W=' m ►=-. == ''a� a o mrn„ Vo oO�o R CM <br /> Samplers Name U � � m <br /> v <br /> No fo QCL <br /> Q o Samplers Signature m ow <br /> aN � Comments/o E; wa _ °PocoSample ID Date Time Matrix P m P w a > U) 'D <br /> co a g G Instructions z <br /> SV-INF /y ,W Air X 1 Og <br /> SV-INF2 Air X 1 Ok <br /> SV-INF3lO�j yY Air X 1 l0 <br /> SV-INFCOMB Air X 1 <br /> 01 <br /> Special Instructions/Comments Relinquish by:, Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign ,/ Total no.of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) Print 4z:'d, s„ Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Compan Compan Recd in good condition/cold: <br /> Time �ZC7 Date Z Time Date Conforms to record: <br /> T EDF Deliverables Relinquished by: Received b <br /> email results and EDF to: Sign _ Sign Client: Stantec <br /> N erik.lawsona_stantec.com Print Print <br /> �.w- T ,v(o” Client Contact: Brian Goss <br /> o brian.gossastantec.com Company Company 1, 79 <br /> Client Phone: (916)384-07 <br /> N Time Date Time 161r, Date tci q t 2 <br /> Date: Page 2 of 2 <br />