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1 <br /> • • Chain of Custody Number <br /> SECOR Chain-of Custody Record j <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 Callfomia <br /> Project# 77EI-20632.03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical _ <br /> Turnaround Time Standard a H <br /> Sampler's Name / W o ' m <br /> e• <br /> Sampler's Signature b $ N o <br /> _ m <br /> z240 `° 4 Comments/ <br /> Sample ID Date Time Matnx ' g ° Instructions i <br /> MW-1 UYa Water X X Ot <br /> MW-2 1530 Water X X o 2 <br /> MW-3 j-/;�Va /a water X X d <br /> MW-4R 03 W-so Water X X <br /> MW-6 3 2a Water X X oS <br /> MWS S 2 03 / o Water X X ab <br /> MW-7 ao a� S'0 Water X X o <br /> Special Instructions/Comments Relinquished by _�-... �K�//,,� Received by Sample Receipt <br /> 5 Oxygenates,TAME, MtBE,ELBE,TBA,&DIPE Sign Sign <br /> Total no of containers <br /> Global ID#70607700798(SIRC) Print Pnnt Chain of custody seals <br /> EDF Deliverables Company Compa Recd in good oonddion/cold <br /> results sults to beareyesecor com Time Date Tim Date Conforms to record <br /> Relinquished by Receive <br /> Sign Sign Client: SECOR <br /> Pnnt Print Nm t Client Contact Brian Carey <br /> Compari Company KTf t -A ,-rreA%- Client Phone 916 861-0430 <br /> tOOR CUBTFIEG F"2= Ti Date Time I S o 6 Date o 21 a ext 241 <br /> Date Page <br />