Laserfiche WebLink
0 Chain of Custody Number '�5915'5 0 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento D 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 Locabon 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL.20632 03 Task# 0410 allysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical m g <br /> Turnaround Time StandardN <br /> 3 �'N <br /> � $ .18 O w C <br /> W <br /> M � <br /> Sampler's Name //r _ <br /> Sampler's Signature m E " e n <br /> = x = 19 .9 <br /> 2g, Comments) e <br /> Sample ID Date Time Matrix z >m =m r� io ° W I Instructions x <br /> MW-1 91.a /a Ys` Water x X X d( 3 <br /> MW-2 -p-oy /36o Water x X X 3 <br /> MW-3 7-r ► Water x X X 03 3 <br /> MW-4R - II- 3 Water x X X 611 3 <br /> MWS .>7 0 30 Water x X X C 3 <br /> -� MW-6 - .6 /000 Water x X X dlo 3 <br /> MW-7 7- --Y /t13e Water x X X v� 3 <br /> Special Instructions/Comments Relinquished b Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,i4 DIPE Sign Sign Total no of containers <br /> Global ID 970607700798(SIRC) Print a... -Punt Chain of custody seals <br /> email EDD to dacatlin@secor com Company ,,� Compan Recd in good oondit on/cold <br /> email results to dherzog@secor com and Time Date Time Date Conforms to record <br /> bcarey@secor com Relinquished by- Received by, <br /> Sign Sign /`J Client SECOR <br /> Print Print fin! Client Contact Brian Care <br /> Compan Company 6,5 e rr' Client Phone 916 861-WO <br /> Tim Date Time 1S5U Date or7getou., ext 241 <br /> SEWRCUSTRECRM 2= <br /> Date 7 ,e-oz Page b <br />