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Chain of Custody Number '3-7 31-7 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento E3 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 CountryClub Blvd <br /> Stockton California <br /> Project# 77EL 14117.04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory Kiff Analytical m W a <br /> Turnaround me Standard ' °i s2 LO <br /> a � = a � H c <br /> Sampler's Name Tom Miller z m <br /> Sampler's Signaturem m o � c m <br /> CL S m Comments/ <br /> Sample ID Date Time Matrix z $ y m $ r� �, ° Instructions <br /> W-1 • :a 0 Y /SaU Water x X X 3 <br /> MW-2 3 3 a r g. do Water x X X OZ 3 <br /> MW.3 3.73 -Y /'/IT' Water x X X d 3 <br /> MW-4 3-3-ov P Us- Water x X X O" 3 <br /> MW-5 3.3--Y a 3U Water x X X O 3 <br /> MW-6 3 S Q-/ '?-YS- Water x X X D 3 <br /> MW-7 3 a -Y II/S- Water x X X 01 3 <br /> MW-8 3-!y /3,76 Water x X X v 3 <br /> Special Instructons/Comments Relinquished bye Received by Sample Receipt <br /> 5 Oxygenates-TAME,MtBE,EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global ID#T0607700458(SIRC) Print Print Cham of custody seals <br /> email EDD dacatlin@secor com Company Compan Recd in good condition/cold <br /> email lab report to dherzog@secor.com and Time Date Tim Date Conforms to record <br /> bearey0secor.com Relinquished by eceived by <br /> Sign Sign /\L Client SECOR <br /> Print Print N^ -;2y <br /> Client Contact Brian Care <br /> Company Company r- �,� %c� Client Phone (916)WI-0400 <br /> Time Date Time [234 Dat I&qo ext 241 T <br /> SECOR CUSTREC Rw ZW <br /> Date S• 3'a�{ Page 1 ate/ <br />