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0 <br /> Chain of Custody Number 0 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento O Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#20632 <br /> Rancho Cordova, CA Location 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL 20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical <br /> 04 <br /> m Ny <br /> Turnaround Time Standard a �� 0 � .. Z5W d !� (cj o e v1 _ <br /> Sampler's Name Tom Miller x a a a 0 <br /> o <br /> 0 <br /> � � c <br /> Sampler's Signature- U <br /> _ ~ O m w °0 c o '� <br /> nLO ao (D > nr a+m <br /> Sample ID Date Time Matrix i a a E) a °o o N m o Q Comments) E <br /> ~ ~ ~ a `° `° _ ° �' ° k m Instructions z <br /> MW-1 $=�`J--3 1-5-Yo Water X X <br /> MW-2 S�9-•� t f is Water X C9 f 4 <br /> X 02 4 <br /> MW-3 Water X X O 4 <br /> MW-4 Yqo Water X <br /> X 01 4 <br /> MW-5 S }9-a3 f"S rn Water X X d 4 <br /> MW-6 t,;i_qo Water X X Db 4 <br /> MW-7 Water X X d 7 4 <br /> Special Instructions/Comments Relinquished byo, •V i Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA, & DIPE Sign Sign Total no of containers <br /> email results to bcarey@secor com Print %��,�ri�j Print Chain of custody seals <br /> Global 1D#T0607700458(S1RC) Company Compan Recd in good condition/cold <br /> email EDF Deliverables to mkochCsecor corn Time Date �i Ti Date Conforms to record <br /> lmquished by Recelv d by 4VW <br /> Sign Sign Client SECOR <br /> Print Print �, (� Client Contact Brian Care <br /> Company Company k FF wclt Client Phone 916 861-0430 <br /> Time Date Time Date ext 241 <br /> SECOR CUSTREC Rev 7188 <br /> Date -T-z- 2 c Page <br />