Laserfiche WebLink
Chain of Custody Number: <br /> StanteC Chain-of Custody Record <br /> Field Office: 077 Sacramento Q 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 Ld <br /> Laboratory Kiff Analyticala N <br /> W <br /> Turnaround Time 24 hr on MID- &GW-EFF a m a W <br /> w w n <br /> VIrl d w 9 b N N U <br /> Sampler's Name a w 0 a rn rn; M a <br /> w F a w oQ y ca p ip m � w w w d <br /> Sampler's Signature z °' <br /> x m a _ , x fO tO E w a Comments/ <br /> w = 2 ¢ a 10v Oa ad m d O O <br /> Sample ID Date Time Matrix m w > w w r K G Instructions z' <br /> GW-INF )Aha ha '(.W Water X X X 6 <br /> MID-1 If'� Water X X � X 6 <br /> > MID-2 qb Water X X X 6 <br /> - MID-3 I LI i Water X X X 6 <br /> MID-4 )4.13 Water X X X 6 <br /> \35 6 <br /> GW-EFF ..30 Water X X X X For GW-EFF, modify detection <br /> levels of; TBA(12 ug/L) and MtBE <br /> Tri Blank IG L t to Water X X X X (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 b Received by: Sam le Recei t <br /> 5 Oxygenates: MTBE, DIPE, ETRE,TAME,TBA Sign Sign _ Total no.ofcontainers: <br /> (Detection Limits: 0.5 pg/L,5.0 ug1L for TBA) Print s otrt,o? Print Chain of custody seals: <br /> AAeta!S: !'.aHminml(:hrnmii Im/Cnpoer/I,pari/Niokel/7inr. Comoanv ._.Sm A%a' r Company Recd in good contlition/cold: <br /> Time 1 Date )-l7-!o Time-' Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received <br /> y: <br /> email results and EDF to: Sign Sign Client: Stantec <br /> jay.tanner@secor.com, erik.iawson@stantec.com Print Print 1_ Client Contact: Matt Tanner <br /> & kristen.burba@stantee.com Compan Company (�� c Client Phone: (916) 384-0713 <br /> TI Date Time O7 ate <br /> SLWTEC..ST REC Rm.]99 <br /> Date: Page 1 of 2 <br />