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Chain of Custody Number: <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento E3 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 w <br /> Laboratory Kiff Anal tical ° N N <br /> Turnaround Time 24 hr on MID- &GW-EFF a m w a <br /> r a w <br /> Lo LY 6 7 ami w a. <br /> w o r 0 <br /> Sampler's Name /n A) l -11 r,,SJ w F a N a_ CU �'J o a o w d a a a o <br /> Sampler's Signature 1�1— m t w I Nit C � H w w w <br /> X i i a a R �' x a i a 3 o o Comments/ £ <br /> Sample ID Date Time Matrix m � w > V) w w °�° g {_ 3 Instructions Z <br /> GW-INF Il rLlfu 11,3 Water X X X 6 01 <br /> MID-1 I'f Water X X X 6 CZ <br /> MID-2 ('S n 1 Water X X X 6 d7 <br /> MID-3 I LI i Water X X X 6 <br /> MID-4 )Ll.,) Water X X X 6 <br /> •� 6 <br /> d GW-EFF '3J Water X X X X For GW-EFF, modify detection I <br /> Tri Blank 101'1 w Water X X X X levels of; TBA(12 ug/L)and MtBE 0v (5 ug/L). Also, see changes in <br /> testing methods for GW-EFF. <br /> 11F]Include Field Blank(EPA 524.2) <br /> Special Instructions/Comments rRlinquish b Received by Sam le Recei t <br /> 5 Oxygenates: MTBE, DIPE, ETRE, TAME, TBA gn Sign Total no. of containers: <br /> (Detection Limits: 0.5 ug/L, 5.0 pg/L for TBA) Print Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company sm.w)�V-C- Compan Recd in good condition/cold: <br /> Time '1 Z) Date r I-i7-oi Ti Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received by: <br /> `D email results and EDF to: Sign Sign Client: Stantec <br /> jay.tanner@secor.com, erik.lawson@stantec.com Print Print Client Contact: Matt Tanner <br /> ° & kristen.burba@stantec.com Compan Company C Client Phone: (916)384-0713 <br /> w Ti Date Time 07" ate <br /> STANTEC CUSTREC Rev,1199 <br /> Date: i I `)("I Page 1 of 2 <br />