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a, <br /> Chain of Custody Number: U 7� <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento U 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 W <br /> Laboratory Kiff Analytical m a r <br /> 0 <br /> Turnaround Time 24 hr on MID-4&GW-EFF e a � u; n m a <br /> m + a r <br /> 'ne ° 3; L? <br /> ) cc vSamplers Naa x o2 Q m <br /> a w = v Cn or <br /> d ¢ ¢ ¢ v <br /> Sampler's SignaturJel��y w m t o w = „ d c c c a w w w <br /> a o=. as t~a o A o a a a m x o o Comments/ <br /> Sample ID Date Time Matrix m ,- w 0 >(0 n w 0, w a Instructions z <br /> GW-INF LA/ Water X X X 6 01 <br /> MID-1 Cee'e Water X X X 6 0 t <br /> MID-2 ��ZS Z Water X X X 6 a y <br /> MID-3 �6 Water X X X 6 <br /> MID-4 Water X X X 6 De <br /> GW-EFF Water X X X X X 8 D� <br /> Trip Blank Water X X For GW-EFF, modify detection 2 0-2 <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, ETRE, TAME, TBA Sign Rign Total no.of containers: <br /> (Detection Limits:0.5 Ng/L, 5.0 pg/L for TBA) Print nt Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company-5 Y41r,�� Company Rec'd in good condition/cold: <br /> Time �� Date /, Tim Date Conforms to record: <br /> cw EDF Deliverables Relinquished by: -'Received by: G <br /> ° email results and EDF to: Sign Sign Client: Stantec <br /> CD ehk.lawsona_stantec.com Print Print Client Contact: Brian Goss <br /> ° brian.goss(a)stantec.com Company Company Client Phone: (916)384-0779 <br /> N Tim Date Time �? ate (1 t <br /> Date: Page 1 of 2 <br />