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Chain of Custody Number: <br /> Stantee 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 <br /> Laboratory Kiff Analytical n N e <br /> ui <br /> Turnaround Time 24 hr on MID-5&GW-EFF am a <br /> Nts W cfl 0 m W d LL! C11 04<t w o <br /> Sampler's Name Qat x o ¢ w ui �' N <br /> -- w a w m o a W °1 a a a16 <br /> Sampler's Signature m t~ N a C � N �' <br /> w a a a � o N X a a a mo w O a COmmentS/ <br /> Sample ID Date Time Matrix m w > w w M Instructions z <br /> GW-INF °c � �b is Water X X X 6 0 <br /> MID-11, j Water X X X a 6 0 <br /> MID-2 1,,3,)' Water X X X 6 0_7 <br /> MID-3 Ic.2' Water X X X 6 <br /> a MID-4 Water X X X 6 0 <br /> 6 <br /> GW-EFF ars Water X X X X For GW-EFF, modify,detection , <br /> levels of;TBA(12 ug/L)and MtBE <br /> (5 ug/L). Also,see changes in <br /> testing methods for GW-EFF. <br /> Special Instructions/Comments Relinquis d Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETRE, TAME,TBA Sign Sign Total no_of containers: <br /> (Detection Limits: 0.5 pg/L,5.0 pg/L for TBA) Print 7WS,7 Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company s Company Recd in good condition/cold: <br /> Time j yZ Date 62.-;/ �v Tim Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received by- <br /> email <br /> yemail results and EDF to: Sign Sign "`� _ Client: Stantec <br /> jay.tanner@secor.com, erik.lawson@stantec.com Print Print tient Contact: Matt Tanner <br /> & kristen.burba@stantec.com Compo Company Client Phone: (916)384-0713 <br /> T" Date Time j 2,eb ate <br /> STANTEC CUSTREC Rev.2199 <br /> Date: (Z) Page 1 of 2 <br />