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Cham of CustodY Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 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 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> 0 <br /> Laboratory KifF A_nal)jieal _ m <br /> Turnaround Time Standard az a m <br /> Samplers Name Tom Miller m � <br /> m M s m o <br /> Samplers Signature <br /> z _ ;, a m x m Comments/ <br /> Sample lD Date Time Matrix! i � � � � � >m 18 cn� °�uQi instructions z <br /> MW-1 Wates x X X 3 <br /> MW-2 "3' 1/5— water x X X 3 <br /> MW-3 w>-0 P30 water x X X 3 <br /> MW-4 -3'p3 (14% Water x X X 3 <br /> MW-5 Water x X X 3 <br /> MW-6 Water x X X 1 3 <br /> MW-7 //-3o Water x X X 3 <br /> MW-8 - Syr Water x X X 3 <br /> Speraal instructionslComments Relinquished by a Received by Sample Recei t <br /> 5 Oxygenates*TAME, MtBE,EtBE,TBA,&DIPE Sign C Sign Total no of containers <br /> Global 1D#T0607700458(SIRC) Print Print Chin of custody seals <br /> email EDF DeIrverables to dacatlin@secor.com Company Company Recd in good conditionlcold <br /> email results to dherzog@secor corn Time Date Time date Conforms to record <br /> Relinquished by eceiv by <br /> Sign Sign Client SECOR <br /> Print Print `,, "t Client Contact Brian Care <br /> Compan Compo{y �► 1C1 Client Phone (919 861-0400 <br /> T Date Time Date ext 241 <br /> sEc�cx�s�cam zae <br /> Date / 6 Page /6�� <br />