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2795 2nd Street Suite 300 <br /> aceAna)ybca( Davis, CA 95616 <br /> Lab: 530.297.4800 SRG#/Lab No. G J 7 Page Z of <br /> Fax: 530.297.4802 — <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑ No <br /> Yes ^i <br /> Dan Schreiner — Chain-of-Custody Record and Analysis Request <br /> Company/Address: Stantec Sampling Company Log Code: Analysis Request TAT <br /> 3017 Kilgore Road, Ste 100, Rancho Cordova <br /> Phone#: Fax#: GloballD: SL0002050099 <br /> 916-384-0766 12 hr <br /> Project#: P.O.#: EDF Deliverable To(Email Address): o a <br /> ❑ <br /> 15-385828 Dan.Sch�tec com 0 <br /> Project Name: Sampler Signature: 0 24 hr h <br /> Parcel 2A(206397211321 & P66#0415) ❑ <br /> Project Address: <br /> Sampling Container I Preservative Matrix w in <br /> 666 West Weber Avenue i3 48hr S <br /> LL <br /> Stockton, CA 95203 m y ❑ <br /> w _ � f m m w <br /> m <br /> O a A Z N m m 72 hr <br /> a- (7 0- w " on w ❑ <br /> E E E O E_' s 0 0 x m 0 1 wk <br /> O O J ¢ N N w a m <br /> Sample Designation Date Time $ N N _ = N = z 3 to a F � c-m m o <br /> FT 1140 <br /> �cl <br /> acgg - ZF I-Iz-u, 11114or <br /> Mw- Cl s -------------- <br /> of <br /> Mw - 6 I-13ab 1noS g l <br /> ynw 17 I-tib 1045 <br /> Oil " <br /> M�✓-l 1-11-1b 105-51 <br /> lot Mw - 20 I-Wb 11,00 <br /> rnw -ZI HHb I 0 <br /> /+Lvr -2Z 1-1Mb 1'}30 �( <br /> y�}w-31 I..INb Into <br /> Relinquished by Date Time Received y: Remarks: <br /> D - l3•((� Iy�T Must Meet Lowest Detection Limits Possible For 6260 Compounds <br /> �--i\ Gettler-Ryan Inc. !t , Dissolved Arsenio samples have been field filtered <br /> R linquished by Date Time Received by. <br /> Bill to: Stantec Consulting Attn: Dan Schreiner <br /> Relinquished by. Date Time Received by Laboratory: For Lab Use Only: Sample Receipt <br /> Temp"C Initials Date Time Theme.ID# coolant e,esem <br /> Yes / No <br /> o_ <br /> A <br />