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• Chain of Custody Number • <br /> SECOR Chain-of Custody Record <br /> FField Office 077 Sacramento U 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 04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Anallylical a N <br /> 00 " 4 <br /> Turnaround Time Standard a Q m <br /> X m o cc? Ov $ o <br /> Sampler's Name Tom Miller c� <br /> Sampler's Signature E aD - N m y o <br /> C O N R1 0 ? N <br /> CD <br /> n r i X o a 1O v S' x m Comments/ <br /> Sample !D Date Time Matrix = � 8 n ; ° °w Instructions 5 <br /> MW-1 f-� / 3c� H2O x X X 3 <br /> MW-2 -s-IJ4 H2O x X X 3 <br /> MW-3 6-9-y /7,361 H2O x X X 3 <br /> MW-4 Gr 9-Q 606 H2O x X X <br /> 3 <br /> MW-5 6-;—V H2O x X X 3 <br /> MW-6 9-9 G t OH2O x X X <br /> �j��pJ 3 <br /> L-- -W <br /> MW-8 6 9 6 y Hyo x X X 3 <br /> Special Instructions/Comments Relinquished by Qr. Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA, & D1PE Sign Sign Total no of containers <br /> Global ID#T0607700458 (SIRC) Print + Print Chain of custody seals <br /> email EDD dacatlin@secor com Company _SS' CoRec'd in good condition/cold <br /> email lab report to dherzog@secor corn and Time Date Tr mpan Date Conforms to record <br /> bcarey@secor corn Relinquished by Received b <br /> Sign _ SignClient SECOR <br /> Print Print �nf � Client Contact Brian Care <br /> Compan Company , Client Phone (916)851-0400 <br /> Ti Date Time Date _ ext. 241 <br /> SECOR CUSTREC Rev 7199 <br /> Date <S- S' Page /�r— <br />