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Chain of Custod Number <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento <br /> Address: 3017 Kilgore Road Suite 100 Additional documents are attached, and are part of this Record. <br /> Job <br /> Name: Parcel 2A <br /> Rancho Cordova,CA Location: 666 West Weber Avenue <br /> Stockton,CA <br /> Project#s 185750217.711.0602 Task# Analysis Request <br /> Project Manager Dan Schrelner w <br /> Laboratory Pace Analytical r <br /> r a <br /> Turnaround Time _Standard TAT on all analysis m m <br /> Sampler's Name Pcvv-r - ryr,-�a ¢ ,i o w .Y;? m w w IF <br /> Sampler's Signature n % W a o �' w m 212 a p <br /> w x a a m K a s a a H A w w a Comments/ n <br /> Sample ID Date Time Matrix m F r w a, j m °w a 'w m a f K E <br /> 0 o m Instructions i <br /> GW-INF / /y id3 Water X X X v'r <br /> MID-1 / /4 y 03rJ Water X xX <br /> MID-2 i /h ate r X X X <br /> MID-3 %Ay /L Water X X <br /> X O-7, <br /> MID-4 / /tt /G / Water X X X <br /> Lbs' <br /> GW-EFF COG <br /> Blank Water X <br /> X For GW-EFF, modify detection 007 <br /> levels of', TBA(12 ug/L)and MtBE <br /> (5 ug/L). Also,see changes in <br /> testing methods for GW-EFF. <br /> Include Field Blank(EPA 524.2) <br /> Special InstructionslComments Relinquished by: Received Sam le Receipt <br /> 5 Oxygenates: MTBE, OIPE, ETBE,TAME,TBA Sign nas Sign Total no.of containers:(Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) Print/, tint y <br /> Chain of custody seals: <br /> Company ,-» _ Compan Recd in good conditiorVcold: <br /> Time 47,4:V Date i i Time Date Conforms to record: <br /> EDF Deliverables Relinquished by: Received by: <br /> email results and EDF to: <br /> Sign Sign Client: Stantec <br /> bean aossnc stantec com Print Print / Client Contact: Brian Goss <br /> LudithsalazarOstantec com Company / Company Client Phone: X7ria Goss 22 <br /> -o anthonvaiclini(Qstantec com Time <br /> Date Time Date <br /> ,p sraurtc ccsrRec a...zne <br /> o Date: J/y�a Page 1 of 1 <br /> ru <br /> V • <br /> i <br />