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i ! � <br /> Chain of Custody Number ���" <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento Q Additional documents are attached,and are part of this Record <br /> Address 301T Kilgore Road,Suite 100 Job Name 7-Eleven Store 014117 <br /> Rancho Cordova,CA Location 2725 Courtty Club Blvd _ <br /> Stockton,CA <br /> i <br /> Project# 77EL14117. Task# 0410 Ana! is Request <br /> Project Manager Jaff Auchterlonie a <br /> Laboratory Kill Anna ical w m s3 e <br /> Turnaround Time StandardIL <br /> Samplers Name Damon Brown u o m a <br /> ao ca 2a <br /> Sampler08do <br /> Sampler's Signature—zg=m o ,o _ n d <br /> N Q Q COmmentsl $ <br /> Sample IA Date Time Matrix i m F d m 0' i 9 a °w �w Instructions Z <br /> &V P-- b41=r o W-oo water I x X `d �4 <br /> Special Instructions/Comments Relinquished by Received by Sam a Receipt <br /> Sign Sign Total no of containers <br /> email results to, dbrown@secor com Print Darvon Brown Print Chain of custody seals <br /> dherzog@secor com Company SECOR Company Recd in good conddionfoold <br /> Time Date 9 z a Tim Data Conforms to record <br /> Relinquished by Received by <br /> Sign Sign Client SECOR <br /> Print Print c PimaL Client Contact Damon Brown <br /> Company Company KIff Analytical Client Phoria 916 861-0400 <br /> Time Date Time Date cr ext 230 <br /> CUSTWC RW an <br /> Date –44"K Page %ofIb _ <br /> I <br /> I <br />