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Chain of Custody Number: <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento ❑ 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 211403021.300.150 Task# Analysis Request <br /> Project Manager Dan Schreiner w <br /> Laboratory Kiff AnalyticalN a N g <br /> Turnaround Time N a w m a 0 <br /> CL <br /> CL <br /> W U1 - o w CL <br /> Sampler's Name_ f a w ; �° w m w q `O 1O N 0_ <br /> "' w >z rno a w v o a a a <br /> Sampler's Signature x o 1 N N c . y » w w L <br /> Sample ID Date Time Matrix �' a a ~ "� a o o 10 Comments! E <br /> P m w 0)i m w n s G G $ Instructions z' <br /> —tiF-Lrr�i A• 't r� �u / <br /> �- "M/11)/ ru 30'x` <br /> =i <br /> Of v <br /> Special Instructions/Comments Relinquis d Received by: Sam le Recei t <br /> 5 Oxygenates: MTBE, DIPE, ETBE,TAME,TBA Sign Sign Total no.of containers: <br /> (Detection Limits: 0.5 Ng/L,5.0 pg/L for TBA) Print !� a/, .4 Print Chain of custody seals: <br /> Metals:Cadmium/Chromium/Copper/Lead/Nickel/Zinc Compan f 1"t't r-c- Compa Recd in good condition/cold: <br /> Q Ti e / ate ( T Date Conforms to record: <br /> EDF Deliverables / " Relinquished by: Received by: <br /> CD <br /> email results and EDF to Sign Sign Client: Stantec <br /> v, jay.tanner�stantec.com Print Print Client Contact: Matt Tanner <br /> & kristen.burba@stantec.com Comp Compa Client Phone: (916)384-071Y- <br /> at <br /> 916)384-0713 <br /> a Date Time ate <br /> STANTEC CUSTREC R.,2M <br /> Date: Page 1 of 3 <br />