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Chain of Custody Number �f <br /> SECOR Chain-of CuS#ody Record <br /> Field Office 077 Sacramento Q 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 05 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchtedonle <br /> Laboratory Kiff Analytical m e <br /> Turnaround Time Standard x �, <br /> Samplers Name Pa ii .� X <br /> Samplers Signature La <br /> 8 o @ Comments/ <br /> Sample ID Date Tme Matnx ` S g x m n w Instructions z' <br /> MW-1 9 N H2O x X X 3 bf <br /> MW-2 1N4 H2O x X X 3 <br /> MW-3 k"N HA x X X 3 <br /> MWS H2O x X X 3 Oq <br /> MW-5LLLX x X X 3 D5 <br /> MW-0 H2O x X X 3 012 <br /> MW-7 H2O x X X 3 <br /> MW-8 H2O x X X 3 <br /> Special Instructions/Comments Relinquish d y f4b p#X N Received by Sample Receipt <br /> 5 Oxygenates,TAME,MtBE,EtBE,TBA,&DIPS Sign Sign Total no of containers <br /> Global ID#T0607700468(SIRC) Print Print Chain of custody seals <br /> email EDD cryan@secor corn Company g Co�mn Recd to good condition/coldemail lab report to dherzog@secor com and Time Date Date Conforms to record <br /> dbrown@secor com Relinquished by Received by <br /> Sign Sign Client SECOR <br /> Print Print Chent.Contact Daniel Davis <br /> Comps Company Client Phone (816)861-0400 <br /> T Date Time - Date ext 226 <br /> sEoaecusrnEcRev aeonf <br /> Date Page ` 4 <br /> I <br />