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2795 2nd Street Suite 300 <br /> aceAnal1rtical Davis,CA 95618 _ <br /> Y` Lab: 530.297.4800 SRG#/Lab No. Page 3 of �_ <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? ❑ Yes ❑ No Y q Chain-of-Custody Record and Analysis Re uest <br /> Dan Schreiner <br /> Company/Address: Stantec Sampling Company Log Code: Analysis Request TAT <br /> 3017 Kilgore Road, Ste 100, Rancho Cordova <br /> Phone#: Fax#: Global ID: SL0002050099 ❑ <br /> 916-384-0766 1 12 hr <br /> Project#: P.O.#: EDF Deliverable To(Email Address): g ❑ 21 <br /> 0 <br /> 15-385828 Dan.Schreinernp stantec.com o 24 hr m <br /> Project Name: Sampler Signature: <br /> Parcel 2A (206397/211321 &P66#0415) a <br /> a ❑ <br /> Project Address: Sampling Container Preservative Matrix 61 48hr <br /> Ey <br /> 666 West Weber Avenue - <br /> 2 LL <br /> Stockton,CA 95203 _ $ w ❑ <br /> E � w <br /> a 72 hrQ O <br /> 0 0m <br /> ZO m 1 wk mZl a <br /> wo <br /> X z Sample Designation Date TimeLo <br /> Mw-42- hH6 136-0 0H <br /> Mw-Lf 1-1249Tfs <br /> rAw —51 Hz-* 115-0 <br /> 1MW-54 Hlvt, /goo <br /> 5-5 )-,NL II&I-011 <br /> /Kw- SG I-1246 1 <br /> 0 <br /> n1w - 5 I-R,Ib 0530 to <br /> Iviw— 1-11-161ts � <br /> r4V--60 H7246 IIID py <br /> Relinquished by Date Time Rejeiv by: Remarks: <br /> ' , (V Must Meet I- viest Detection Limits Possible For 8268 Compounds <br /> Genler-Ryan Inc. Dissolved Arsenic samples have been field littered <br /> Relinquished 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 Theon. ID# Codam r'na«n <br /> Yes I No <br /> • i • <br />