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• • <br /> Chain of Custody Number 5 b <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 Country Club Blvd <br /> Stockton,Callfornla <br /> Project# 77EL.14117 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory _Kiff Analytical m o § v <br /> Turnaround TiStandard a _ N <br /> Samplers Name Tom Miller �� o o <br /> Samplers Signature 0 I 8 a m m W Comments/ <br /> X = � = am,! $ rg 0 <br /> Sample ID Date Time Matrix z w � m n m �, w Instructions <br /> MW-1 IS-1Water x X X 3 01 <br /> MW-2 Water x X X 3 0 t <br /> MWS11's' .7o Water x X X 3 05 <br /> MWS x-3.03 1156 water x X X 3 1 <br /> MWS 1'a'°3 /ovr Water x X X 3 AS <br /> MWS -yam 1660 Water x X X 3 <br /> MW-7 3o Water x X X 3 �� <br /> MW-8 -7'93 3yr water x X X 3 <br /> Special Instructions/Comments Relinquished by a ReceNed by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,S DIPS Sign Sign Total no of containers <br /> Global ID#T0607700458(SIRC) Print Print Chain of custody seals <br /> email EDF Deliverables to dacatlin@secor.com Company ew� _ Company Recd in good conditKWoold <br /> email results to dherzog@secor corn Time Date Time Date Conforms to record <br /> Relinquished by -Ke-ceivIKby <br /> Sign Sign Client SECOR <br /> Print Print v Client Contact Brian Care <br /> Compan Companya lient Phone (916)861-WO <br /> T Date Time ED <br /> ate ext.241 <br /> SECOR arTnecnav bw <br /> Date / � 63 Page /o <br />