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r i <br /> Cham of Custody Number y73 <br /> SECOR Chain-of Custody Record <br /> FAP,Iddress <br /> 077 Sacramento E] Additional documents are attached,and are part of this Record <br /> 3017 KilgoreRoad,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location 2725 Country Club Blvd <br /> Stockton,California <br /> Project# 77EL 14117 06 Task# 0410 Analysis Request <br /> project Manager Damon Brown o a <br /> Laboratory Kiff Analtical m m 8 a e <br /> v N m c c <br /> Turnaround Time Standard w z m a - <br /> e <br /> _ °chi c3 <br /> y a Ia� m T <br /> Sampler's Name Co a d g O 2 o m o cC. <br /> Sampler's Signature v °N o a Comments/ E <br /> U d a 0 d o O N O m N 0 0 <br /> Sample ID MDate, Time Matnx x ►- W ►- r A m 'n W Instructions Z <br /> MW_1 115 I H2O x X X 3 <br /> 3 61 <br /> _ MW_2 131 S H2o x x X 6, <br /> MWS Ik5( H2O x x X 3 <br /> MW-4 1 13 H2O x X X 3 <br /> — MW-6 1z1`) H2O x X X 3 K <br /> W6 I�bZ H2O x X X 3 <br /> MW-7 <br /> �1 H2O x X X _ 3 <br /> MW-8 <br /> 631 H2O x X X Tr rep°G i a 3 6 <br /> �1 Cooiert p*eserrt' i <br /> Cf�'0 U6/W( Received by <br /> Sample Racei t <br /> SpecEal-Instructions/Comments Relrnui JbonslComments of�. y t` Total no of containers <br /> 5 Oxygenates TAME,MtBE, EtBE,TBA,&DIPE Sign Sign Chain of custody seals <br /> Global ID#70607700458(SIRC) Print Print <br /> Recd m <br /> Company c C parry good conddion/wld <br /> email EDD cryan@secor cam Conforms to record <br /> email lab report to dherzog@secor com and Time Date Time Date <br /> dbrown@secor cam Relinquished by Received by QX ra <br /> Sign f Sign ,tJ Client SECOR <br /> Print Printa n Client Contact Damon <br /> Com Company '4— f Client Phone (916)861-0400 <br /> e Date Time r9LL_Datext.230 <br /> �CORws,RECP«20 Page <br /> Date 1-016's- <br />