Laserfiche WebLink
Chain of Cus Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento ®Additional documents are attached,and are part of this Record <br /> Address 3017 Kil are Road Suite 100 Job Name 7-Eleven Store#20632 <br /> Rancho Cordova,CA Location 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonte <br /> Laboratory Klff Analytical <br /> m fi <br /> Turnaround Time Standard a & y a ^ e <br /> Sampler's Name Tom Miller <br /> Samplers Signature- _ o m Eli <br /> . � m <br /> Q '° a Comments/ <br /> Sample ID Date Time Matrix = ,� g E <br /> Instructions z <br /> MW-1 Water X X <br /> MW-2 S--}9-•� t�!S Water X C0 r <br /> X pZ 4 4 <br /> MW-3 -X9-61 (ifs Water X X v 4 <br /> MW-4S=i9-�3 1 qO Water X X 0`{} 4 <br /> MW-5 S.}g.o3 1110 Water X X 4 <br /> MW-6 S-a$.4,3 -, .qo Water X X Ob 4 <br /> MW-7 0 Water X X p 7 4 <br /> Special Instruc ons/Comments Relinquished by =000-VV dpi[/, Received by Sam le Receipt <br /> 5 Oxygenates TAME,MtBE, ELBE,TBA,&DIPE Sign Sign Total no of containers <br /> email results to bcarey@secor com Print ia.., �� Print Chain of custody seals <br /> Global ID#T060770045a(SIRC) Company Compan Recd in good condtron/cold <br /> email EDF Deliverables to mkochesecor.com Time Date Ti Date Conforms to record <br /> linquished by Receiv by F40,# <br /> Sign Sign Ciient SECOR <br /> Pnnt PrintUL-TA-4-4. t, I$ Client Contact Brian Carey <br /> Company <br /> Date .rtecompany kt6 Client Phone 916 861-0430 <br /> l Date ext,241 <br /> SECOfi CUSTRE4 Rw�7AY <br /> Date q->op G Page <br />