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• Chain of Custody Number s---Z S jb • <br /> SECOR Chain-of Custody Record <br /> Field 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# 77EL.20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory Kiff Analytical <br /> Turnaround Time <br /> Standard <br /> W � R o <br /> Samplers Name <br /> Samplers Signature g <br /> Comments/ <br /> Sample ID Date TimeMatrix g y g ° Instructions z <br /> Mw-1 ?o , Yo Water X X 0[ <br /> MW-2 eta 1530 Water X XV 62 <br /> MW-3 Jas Water X X V 16� <br /> MW4R 03 /V30 Water X X <br /> MW-5 3 Water X X <br /> MW-6 S 0.1 /'So Water X X o1a <br /> MW-7 IVIT Water X X <br /> Q� <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates•TAME, MtBE, EtBE,TBA,& DIRE Sign Sign Total no of containers <br /> Global ID#70607700798(SIRC) Print ' Pant Chain of custody seals <br /> EDF Deliverables Company Compa Recd in good conditEon/cold <br /> entail results to bearey@secor.com Time Date Tim Date Conforms to record <br /> Relinquished by Receive <br /> Sign Sign Client SECOR <br /> Print Print 1� Client Contact Brian can <br /> Compan Company 1G �nc.� Client Phone (916)861-0430 <br /> TI Date Time l S o L, Date n 21 o ext.241 <br /> SECOR CUSTREC Rev M <br /> Date Page <br />