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Chain of Cmtod Q <br /> Number: L/ 3(j! <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento Lh 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 211602305.500.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner W <br /> Laboratory Kiff Analytical `0 <br /> m a N o <br /> Turnaround Time 24 hr on MD-4&GW-EFF N a m m p m a <br /> `4 w a 80 a a x W a p Q <br /> Sampler's Name ria ►°1'7a"� a w x° g o~d W '� m w'm W $ a o m eTi o <br /> Sampler's Signatur w m t G w = g ami N 3 2 m J w W W ° <br /> w i i a CL r 'io 0 A �a =a so d c' o 0 9 Comments/ E <br /> Sample ID Date Time Matrix m � � w � ami > p W W °�° a Instructions z' <br /> GW-INF 40 442- lleO Water X X X 6 al <br /> MID-1f'� /�/3- Water X X X 6 0Z <br /> MID-2 /03V Water X X X 6 Vj <br /> MID-3 / 1011V Water X X X 6 0#MIDI4 /03$ Water X X X 6 <br /> GW-EFF .:t/ QZ Water X X X X X 8 (P <br /> Trip Blank ,riZ Water X X For GW-EFF', modify detection 2 b� <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 Mank(EPA 574.2) <br /> i <br /> I <br /> Special Instructions/Comments Relinquished by: Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPS, ETBE, TAME,TBA Sign ign Total no.of containers: <br /> zg <br /> (Detection Limits:0.5 Ng/L, i l:;'01 <br /> 5.0 Ng/L for TBA) PrPrint Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company ,;, Company Recd in good oondition/cold: <br /> Time /Date Time Date Conforms to record: <br /> EDF Deliverables Relinquished by: eceived by: <br /> email results and EDF to: Sign Sign tient: Stantec <br /> N edk.lawsono_stantec.com Print Print _jCA, Gh Client Contact: Brian Goss <br /> O brian.gossastantec.com Compan Company Client Phone: (916)384-0779 <br /> T' Date Time Date <br /> Date:��j,�1 Page 1 of 2 <br />