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Cham of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office O77 Sacramento a Addit,onai documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 __ _ Job Name 7-Eieven Store#14117 <br /> Rancho Cordova CA Location 2725 Country Club Blvd. <br /> Stockton,California <br /> Project# 77EL 14117 43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Klff Analytical !� T <br /> Turnaround Time Standard <br /> w $ 4 m t3 � O <br /> Sampler's Name Danielle Catlin-Wright <br /> O co UO �O tE0O g � S <br /> Sampler's Signature o 1p = b V� g €� S Comments/ <br /> Sample I Date Time Ma rix i m I m v",w w w Instructions z <br /> Ll - S' 04/21/03 I a`i sou xI x x I1 0� <br /> L. - 2.1t X X X 1 of <br /> 52' 5,69 x x Oq <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE, EtBE,TBA,&DIPE Sign YSign Total no of containers <br /> email results to Jauchterloniefsecor corn Print jrAratv. 'Print Chain of custody seals <br /> Company SgCo _ Company Rec'd in good conchonbold <br /> Time 5Z Date Time Date Conforms to record <br /> Relinquished by Rdrceived by <br /> Sign Sign 4 Client SECOR <br /> Print Print Client Contact Jaff Auchterionle <br /> Com Company ki K Client Phone (916)a61-0430 <br /> T Date Time VaL Date +d -o ext.241 <br /> sEODR aUSTREC Aft 2W <br /> Date -Z -d'3 Page <br />