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2795 2nd Street Suite 300 <br /> ace AnalyticalIDavis,CA 95616 <br /> Lab. 530.297.4800 SRG#/Lab No. Page of <br /> Fax: 530.297.4802 <br /> Project Contact(Hardcopy or PDF To): California EDF Report? YesNo y q Chain-of-Custody Record and Analysis Re uest <br /> ❑ <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 to SLOOD2050099 ❑ <br /> 916-384-0766 12 hr <br /> ❑ T <br /> Project#: P.O.#: EDF Deliverable To(Email Address): g c <br /> 15-385828 Dan.Schrqinert7d stantec com8 24 hr O <br /> a <br /> Project Name: Sampler Signature: <br /> Parcel 2A(206397/211321 &P66#0415) a ❑ <br /> 6 J <br /> Project Address: Sam ifing Container Preservative Matrix 48hr o <br /> 666 West Weber Avenue z LL <br /> Stockton,CA 95203 4 r�i ❑ <br /> 72 hr <br /> Oj a C9 a° ro v o o o �" ❑ <br /> E E E dM u 0 1w <br /> O O J N <br /> Sample Designation Date Time C N N 2 2 N $ 2 > <br /> mW--7HN6 1510 Xx 6l <br /> (Aw --M 1-1316 0910 <br /> M w-73 1-tLqb row <br /> rAw --7f-CNb 1+00 <br /> 2R -MW 1015 <br /> C FZ - 3 FT 1-1346 Q <br /> 71 <br /> Relinquished by: Date Time R ad b Remarks: <br /> Must Meet Lowest Detection Limits Possible For 8268 Compounds <br /> Gelder-Ryan Inc. I•S !� Dissolved Arsenic samples have been field filtered <br /> R linquis 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 Initals Date Time The" ID# ce ,vre,.m <br /> Yes / No <br /> 0 <br /> • 0 <br />