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Chain of Custody Number <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 74Eleven 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 Auchtedonie <br /> Laboratory ICff Analytical <br /> Turnaround Time Standard a QJfftl <br /> m <br /> _� Em H . <br /> Sampler's Name Pen n > I <br /> Sampler's Signature ; Comments! <br /> _ a _� <br /> Sample ID Date Time Matnx x >m => w Instructions Z <br /> MW-1 -27-e5 1S2a H2O x X X 3 <br /> MW-2 H2O x X X 3 <br /> MW-3 17 y H2O x X X 3 <br /> MW-4 It,1Z, H2O x X X p 3 <br /> MWS i/ H2O x X X r o f 3 <br /> MW-0 134 H2O x X X o 6 3 <br /> MW-7 / p H2O x X X s o 3 <br /> MW-8 Jip s H2O x X X M 3 <br /> i ---F i '--H+ <br /> Special Instrucbons/Cornments Relinquished by Received bar Sample Receipt <br /> 5 Oxygenates-TAME,WE,EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global IDS T0607700458(SIRC) Print 1/e.a g_ Print Cham of cunt*seals <br /> email EDD cryan@secor.com Company !j�ggr- Company Recd In good condtaVeold <br /> email lab report to dherzog@secor com and Time Date `-z y a! Time Da Conforms to record <br /> dbrown@secor com Relinquished by Received by Of <br /> Sign Sign Client; SECOR <br /> Print Pnnt a tent Contact. Tom Miller <br /> Company Company Client Phone (916)861-0400 <br /> Time DateTime _ ate n ext.279 <br /> sECpwusTWc raa ZW <br /> Date .77-as Page 1 <br />