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Chain of Custody Number: 5 (c2--7 3 • <br /> SECOR Chain-of Custody Record <br /> Field Office: 077 Sacramento L3 Additional documents are attached, and are part of this Record, <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location: 2725 Country Club Blvd. <br /> Stockton,California <br /> Project# 77EL.14117.07 Task# 0410 Analysis Request <br /> Project Manager Damon Brown <br /> Laboratory Kiff Analytical a <br /> Turnaround Time Standard a r = � m r y N <br /> W Oa 0 o e� � <br /> 0V o <br /> Sampler's Name Brian Branscu za" <br /> Sampler's Signature o Q i5 12 X 4!E <br /> CL i s x c a a �'°� 'm Comments/ E <br /> Sample ID Date Time <br /> Matrix i IL 2 Q >; _-w C-0 L h w Instructions z <br /> MW-1 S 0 3> H2O 3 X X 3 O( <br /> MW-2 1 ZZ H2O 3 X X 3 02 <br /> MW-3 1,531 H2O 3 X X 3 v 3 <br /> MW-4 1103 H2O 3 X X 3 oq <br /> MW-5 I,Z.377 H2O 3 X X 3 p,5 <br /> MW-6 134(o H2O 3 X X 3 0(p <br /> MVH-7 1 ZOLt H2O 3 X X 3 07 <br /> MW-8 0 H2O 3 X X 3 01 <br /> Special Instructions/Comments Relinquished by- eceived by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Sign Sig Total no.of containers: <br /> Global ID#T0607700458(SIRC) Print Print Chain of custody seals: <br /> email EDD cryan@secor.com Company 5 d CompanyRec'd in good condition/cold: <br /> email lab report to pherrmann@secor.com and Time 18o Date o'7 Time Date Conforms to record: <br /> dbrown@secor.com linquished by: Received by: <br /> SAMPLE RECEIPT <br /> Temp°C 2,3 Therm.ID# z _ Sign Sign Client: SECOR <br /> Initial Date o�o3a� Print Print c,-c4,' ^7— Client Contact: Damon <br /> _ Company Company ; A�.wl < Client Phone: (916)861-0400 <br /> Time Ws Coolant present: es No Time Date Time (g C) DateySd3o-7 ext 230 <br /> SECOR CUS7REC R..7199 r <br /> Date: 51-3/0-7_ Page Jur <br />