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• • <br /> Cham of Cu Number ';13062 <br /> SECOR Chain-of Custody Record <br /> Feld Office 077 Sacramento El Additional documents are attached,and are part of this Record <br /> Address 3017 Klt ore Road,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova CA Locabon 2725 Country Club Blvd <br /> Stockton Callfomia <br /> Project# 77EL14117.03 Task# 0410 Analysts Request <br /> Project Manager Jaff Auchterlonle d <br /> 11 <br /> Laboratory Klff Ana calm g 0 <br /> r <br /> g op <br /> Turnaround Time Standard <br /> � �, z � � a r$�� �� <br /> Sampler's Name Tom Miller <br /> mI � <br /> Sampler's Signature a 'g e'g o FS o o ; a <br /> v omwlbo �i, � � <br /> Sample ID Date Time Matroc s CO ° > �, W Comments/ E <br /> Instructions z <br /> MW-i g i��� /t&o Water X x x <br /> MW-2 g ,g�sS /Esc Water X X <br /> �- MW2 `j s /73c Water X <br /> X <br /> MWS y ,F•3 / 7 06 Water X 3 dz <br /> .5 X 3 <br /> •3 !S3 v Water X X 3 bS <br /> MWS ,� �4 v� /s o Water X <br /> MW-7 X <br /> y.�v �s /� « Water x 3 Q� <br /> - MW-8 X 3 01 <br /> g r sr 43 1 Y ° Water X x <br /> oQ <br /> Special lnstructionslCamments Relinquished byres Removed by Sample Rempt <br /> 5 Oxygenates:TAME, MtBE,EtBE,TBA,&DIPE Sign Sign <br /> Global ID#T0607700456(mc) .....Pnnt Total no of containers <br /> Print Cham of custody seats <br /> small EDI"Deliverables to mkoch@se=.com Company Compan Rev'd in good oondrbmvwd <br /> email results to dherzog@secor com Time Date Tr Date Conforms to retrad <br /> Relinquished by Received <br /> Sign Sign Client: SECOR <br /> Pnnt Print Ment Contact Brian Ca <br /> COCom5nY Client Rhone J916)$61.0400 <br /> Ta Date Time ►`[$LDate 00 <br /> 2z� ext,241 <br /> srspR cUrrac cm.age <br /> Date 9 i Page <br />