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Chain of Custody Number: `' <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento E] 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 211402841.300.400 Task# Analysis Request <br /> Project Manager Dan Schreiner 2 CP <br /> Laboratory Kiff Analytical , _ N y <br /> Turnaround Time 2 =hr on MID-5&GW-EFF C4 °° �' w + w <br /> a <br /> a 0 m a �o <br /> r w n Q y w d v N c c <br /> Sampler's Name s�/ / ti�4��a^� a W = a W i m; m a m y a a a <br /> LY a ° w w ° w p w m a a a ° <br /> Sampler's Signature m t b �, °;N m N 2 �, w w w <br /> X i = a a F=- ° " a x a a «° o o 0 Comments/ £ <br /> Sample ID 110w Matrix m � w N > 'D ° w a W m a Instructions z <br /> GW-INF LZ5 !67 Water X X X 6 <br /> MID-1 I tv.� Water X X X g C)'2- <br /> MID-2 <br /> LMID-2 i Z I Water X X X 6 d� <br /> MID-3 I Zl" Water X X X 6 4 <br /> MID-4 170 Water X X X 6 ©S <br /> GW-EFF zoo Water X X X X For GW-EFF, modify detection ©6 <br /> Trip Blank — Z (,) Water X X levels of; TBA(12 ug/L) and MtBE ©:jl <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 Relinquish by' Received by. Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign Sign Total no. of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) Print O K rJ (k,4 h) Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company 5-r&.4eT Compa Recd in good condition/cold: <br /> Time Date a-?-(J e Date Conforms to record. <br /> v EDF Deliverables Relinquished by: Received <br /> CD email results and EDF to: Sign Sign tient: Stantec <br /> N) jay.tanner@secor.com, erik.lawson@stantec.com Print Print Client Contact: Matt Tanner <br /> ° & kristen.burba@stantec.com Company Company // C.�� Client Phone: (916) 384-0713 <br /> N Time Date Time j 7 Date 10Vq1 L <br /> STANTEC CUSTREC Rev.2199 <br /> Date: '1 � (J Page 1 of 2 <br />