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Cham of Custody Number _ <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento EJ 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 43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie O <br /> Laboratory Kiff Analytical <br /> Turnaround Time Standard _ a �5' °' 1'4 <br /> G 4 C C7 �{ G <br /> dm is YSV > OV ra <br /> Sampler's Name Danielle Catlin-Wrl ht <br /> Sampler's Signature o r <br /> c � <br /> r' �, tM o <br /> m n v m - °'m > m P m Comments/ <br /> U a n=. o R o occu � o mc"v 00. �. E <br /> Sample ID Date Time Mafix z +- m a (0 > � CO m Ln w Instructions z' <br /> •�f 04/04/03 Q'/ Soil X X f <br /> L <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 /> email results to jauchterlonle@secor corn Printrant Chain of custody seals <br /> Company Company Recd in good condition/cold <br /> Time ; Date oy Time Date Conforms to record <br /> Relinquished by Recei by <br /> Sign Sign Client SECOR <br /> Print Print aH{v Client Contact Jaff Auchterlonie <br /> Compa Company l F NAL7TVCkent Phone 916 861-0430 <br /> SECOR CUSTMr,FkV 2M Date Time LO SO Date 040705 ext.241 1 <br /> Date D'y - 6'Y-03 page f06 <br /> I <br />