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Chain of Custody Number: ) O <br /> Stantec 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 <br /> Laboratory Kiff Analytical w00 w <br /> VJ <br /> Turnaround Time Standard m 0. N C.@ Ir�, + o <br /> W t0 N y S N 7 h C <br /> _' i (0 U 0 U r O a tND eD O <br /> Name �3e/a� I (-� o w w = X a > m 2? � A m <br /> 0- <br /> Sampler's a a <br /> W � o Er co �6 o y � v W d a O <br /> Sampler's Signature m m t - @ o 2 N ; b o N N y w w 2 v4 <br /> _ _ = a a £ 22 .@ Nw °° i= a o o Comments/ e <br /> Sample ID Date Time Matrix � - w a` > ' z U ° w a Z k k Instructions z' <br /> SV-INF 11 / 0 12 w Air X 1 ( L9 <br /> SV-INF2 a /f� Air X 1 O 01 <br /> • SV-INF3 r r,'" Air X 1 <br /> SV-INFCOMB i 1,Y)" Air X 1 Lf f� <br /> Special Instructions/Comments Relinquis a 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 Z t ;A) Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Company!> <br /> in good condition/cold: <br /> Time '7}; Date i -0-i u Ti Date Conforms to record: <br /> EDF Deliverables Relinquished by: Receive y: <br /> T email results and EDF to: Sign Sign Client: Stantec <br /> CD jay.tanner@secor.com, eric.lawson@stantec.com Print Print 11 Client Contact: Matt Tanner <br /> N & kristen.burba@stantec.com Company Company Client Phone: (916)384-0713 <br /> o Time Date Time ate <br /> N SECOR CUSTREC Rev.2/99 <br /> w Date: l 1, Page 2 of 2 <br />