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4L1 0 Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Meld Office 077 Sacramento 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# 77EE_20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> o _ <br /> Laboratory Kiff Analytical m W H <br /> v � m 2 w <br /> Turnaround Time Standard � o1°0o 22 V <br /> D <br /> U to <br /> ] oU iLU Name <br /> 1 o o'o , d o <br /> E co NSamplers Signature <br /> U to <br /> H <br /> x r x E m �° 9 W W x Comments/ E <br /> Sample ID Date Time Matrix = � a a` w > ( w CO co ° � Instructions z <br /> MW-1 7 a / Water x X X 3 <br /> MW-2 a -7-Y Water x X X 3 <br /> MW-3 e-7 ;!I$-- Water x X X 3 <br /> ' <br /> MW-4R 3 y Water x X X 3 <br /> " <br /> MW-5 V/36 Water x X X 3 <br /> MW-6 17 Water x X X 3 <br /> MW-7 G / 3o Water x X X 3 <br /> Special Instructions/Comments Relinquished by-:Z—,. �rir` Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA, & DIPE Sig - - Sign Total no of containers <br /> Global ID#TO607700798 (SIRC) Print Print Chain of custody seals <br /> email EDD to dacatlin@secor com Company S'�_c .11 Company Rec'd in good condition/cold <br /> email results to dherzog@secor corn and Time Date Ti Date Conforms to record <br /> bcarey@secor com Relinquished by Received <br /> Sign Sign Client SECOR <br /> Print Print fA G 1n P GA)wr-1 Client Contact Brian Carey <br /> Company Company � G rr' C Client Phone. 916 661-0400 <br /> Ti Date Time L31O L31Dater p ext 241 <br /> SECOR CUSTREC Re 2M <br /> Dated c Page <br />