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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento <br /> Additional documents are attached,and are part of this Record <br /> Address 3017 Kil are Road Suite 100 Job Name 7-Eleven Store 014117 <br /> Rancho Cordova CA Location 2725 Country Club Blvd <br /> Stockton,Califomla . <br /> Project# 77EL 14117.04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchtertonie <br /> Laboratory Kill Analytical m <br /> Turnaround Time Standard w a a <br /> Sampler's Name Peng Yang a 1 0 '2_ m 0 1 � <br /> Sampler's Signature r/ o U R 5$ s <br /> _ m Comments/ S <br /> Sample ID Date Time Matnx = m s y W110 w Instructions z <br /> * MW-1 11-V o y I b IS H2O x X X 3 d 4 <br /> d_ MW.2 I1-11 eN Ifj55 H2O x X X 3 oz— <br /> MW-3 <br /> LMW-3 IZ-1Z-61 p°1rp H2O x X X 3 $ <br /> MW-01117 <br /> -0 w H2O x X X <br /> 3 off <br /> •- <br /> MW-5 1141-0 ✓552 H2O x X X 3 oir <br /> + MW-6 r2.-11-aM JLr5x H2O x X X <br /> 3 V <br /> • MW'7 0741-o 15774, H2O x X X 3 <br /> 07 <br /> MW41 12,IX-07 01M H2O x X X 3 <br /> Special Instructions/Comments Relinquished by- Received by Sample Recei t <br /> 5 Oxygenates TAME,MtBE,ELBE,TBA,8,DIRE Sign Sign Total no of containers <br /> Global ID#T06OT700458(S1RC) Print �„ Print <br /> email EDD dacatlin@secor corn Company Com Recd in of custody seals <br /> good axWi iontcold <br /> email lab report to dherxog@secor com and Time Date_ r Date Conforms to record <br /> tmiller@secorcom <br /> Relinquished by Recei y <br /> Sign Sign Client SECOR <br /> " Pnnt Print Gy�tRsGJer�s _• Client Contact Tom Miller <br /> Comp Company Lc�rP/�+✓���1rirf� Client Phone (816)861-0400 `Y <br /> Date Time L? Date ILL7fy ext,279 <br /> WOR CXMTRECP�am <br /> Date _ r2'-2x-&? w Page r <br /> 1 <br />