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Chain of Custody Number: d r <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 <br /> Laboratory Kiff Analytical w w N <br /> Turnaround Time Standard w a 0) m occ <br /> o rn� _ <br /> w <br /> w v <br /> (O — N C4 N C <br /> � UC7 > OU « c � Q m m U <br /> Sampler's Name C�Csu w w x° a > C �'m - cc Ln a a a <br /> rno mC, w a a <br /> Sampler's Signature rn ? t o = o,N <br /> _ x x a a o a s a x a o o Comments/ E <br /> Sample ID Date Time Matrix w Q w > (0 _ Un (D o w CL G Instructions Z <br /> SV-INF 10/7/1) (oo Air X 1 R <br /> SV-INF2 23; Air X 1 def <br /> SV-INF3 Air X 1 l U <br /> SV-INFCOMB Air X 1 t <br /> Special Instructions/Comments Relinquis d Received by Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA Sign s Sign Total no. of containers: <br /> (Detection Limits: 0.5 Ng/L, 5.0 pg/L for TBA) Print wbtSv Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company v►rf — Company Recd in good condition/cold: <br /> Time""."Date 10-'7-IL) Time Date Conforms to record. <br /> EDF Deliverables Relinquished by: Received b <br /> v <br /> email results and EDF to: Sign Sign - Client: Stantec <br /> jay.tanner@secor.com, eric.lawson@stantec.com Print Print Client Contact: Matt Tanner <br /> W &kristen.burba@stantec.com Com y Company ,�c� T Client Phone: (916) 384-0713 <br /> o me Date Time 5 -Date v <br /> N) SECOR CUSTREC Rev.2/99 <br /> Date: l G 7 Q Page 2 of 2 <br />