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2795 2nd Street Suite 300 <br /> aceAna! tical6 Davis,CA 95616 <br /> l" Lab: 530.297.4800 SRG#/Lab No. Page —3 of J_ <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑� yes ❑ No Chain-of-Custody Record and Analysis Request <br /> Dan Schreiner <br /> Company/Address: Stantec Sampling Company Log Code: Analysis Request TAT <br /> 3017 Kilgore Road,Ste 100, Rancho Cordova El <br /> #: Fax#: Global ID: SL0002050099 12 hr <br /> 916-3840766 <br /> T <br /> Project#: P.O.#: EDF Deliverable To(Email Address): a ❑ Oc <br /> 15-385828 Dan.Schreinerf&stantec.com a 24 hr m <br /> Project Name: Sampler Signature: <br /> Parcel 2A(206397/211321 &P66#0415) a ❑ <br /> J <br /> Project Address: Sampling Container Preseryative Matrix 48hr o <br /> 666 West Weber Avenue z LL <br /> Stockton,CA 95203 = o « w ❑ <br /> u, Oma„ " `°- a 72 hr <br /> 0 ✓ T p O N W <br /> Oj (� a my m o o m = ❑ <br /> E E E d 0 u 0 s o 0 Q y 1w <br /> O N yOj J (J z C N o- 10 'O <br /> Sample Desi nation Date Time < N N x x N x z m Q r m c <br /> Iriw_-I 144 310 XX 6l <br /> ntw -'72 I-13-f(,Ogro �`f2 <br /> rnw--13 I- food <br /> rAw --7 1-rub I o D <br /> 2A0— joist <br /> C E-6 - 3 FT H3 I6 p <br /> Relinquished by: Date Time R d b� Remarks: <br /> r Must Meet Lowest Detection Limits Possible For 8268 Compounds <br /> Gettler-Ryan Inc. '� Dissolved Arsenic samples have been field filtered <br /> R linquishe 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 I The".ID#I Coolant Pmie <br /> Yes / No <br /> 0 <br /> m <br /> • i <br />