Laserfiche WebLink
Chain of Custody Number S <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento U 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'2063203 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory _Kif_f_Analytical <br /> N m �, <br /> Turnaround Time Standard <br /> a a � <br /> ° a > ohm <br /> Samplers Name W o 4 <br /> z � y � � m <br /> Samplers Signatu "mC o � N �'g o o ; 0 o <br /> a <br /> Sample ID x = _ o o a N o o Comments/ E <br /> Date Time Matrix = F Q > W T w W TILn m I I Instructions z' <br /> j MW-1 S Water x X X 3 a� <br /> MW-2 /33o Water x X <br /> X 3 � <br /> f MWS -/}°Y Y.r Water x X X 3 C3 <br /> / MW-4R Water x X X 3 Oct <br /> MW-5 -9 a a oo Water x X X 36 � <br /> MW-6 030 Water x X <br /> X 3 G <br /> MW-7 00 Water x X <br /> X 3 '� <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE, TBA, & DIPE Sign Sign Total no of containers <br /> Global ID#T0607700798(SIRC) Print ��� Print ,� Chain of custody seals <br /> EDF Deliverables(email to dcatltn@secor com) Company Compa Recd in good condition/cold <br /> email results to dherzog@secor com Time Date 'TM Date Conforms to record <br /> Relinquished by Received by <br /> Sign Sign �_.. -.r Client SECOR <br /> Print Print ,� a <--' -�U Client Contact Brian Carey <br /> Compa Company /� Client Phone 916 861-0400 <br /> T Date Time /Oz; Datr�IIX6 `/ ext 241 <br /> 4Fr[x3 CUSTREc Rei 2M •- <br /> Date Page <br />