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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento [3 Additional documents are attached, and are part of this Record <br /> Address 30117 Kilgore Road,Suite 100 Job Name 7-Eleven Store 919976 <br /> Rancho Cordova, CA Location 1399 North Main Street <br /> Manteca, CA <br /> Project# 77EL-19976 05 Task# 0410 Analysis Request <br /> Project Manager Damon Brown <br /> Laboratory Kiff Analytical co <br /> Turnaround Time Standard Z i 0 Z W <br /> a <br /> op <br /> � a m i3co7 >° O � a <br /> Sampler's Name Co r z _ ' m <br /> �, t o <br /> Sampler's Signature m E m o N m o n Comments) <br /> Q 13 � m a x <br /> co c � a <br /> Sample ID Date Time Matrix = Co I-- a cc > m = m (D ° W Instructions z f <br /> MW-1 Water x X X <br /> -0 MW-1A KIM Water x X X 4 <br /> - MW-2 W(I Water x X X <br /> MW- I Water x X x y <br /> Vkte, to <br /> -D5 MW-" I° >f I-490 Water x x I X Sample fteQ Quarter L <br /> MW-5 t9$ Water x X X L <br /> —Q MW-5A l Water x X X `j <br /> -01 MW-6 I 1gA-1 Water x X X IL <br /> MW-7 V1g50 Water x X X 3 y <br /> Special Instructions/Comments Relinquis eived by Sam le Receipt t <br /> 5 Oxygenates:TAME, MtBE, ELBE,TBA, DIPE Sign Sign Total no of containers <br /> Global ID 970607700750(SIRC) Print Pnnt Chain of custody seals <br /> email EDD to cryan@secor.com Company �,M Company Recd in good condition/cold <br /> email lab report to dherzog@secor com and Time Date gTime Date Conforms to record <br /> dbrown@secorcom Requashed by Received by <br /> TWV-C Therm.Ilii t ,� Sign Sign /�i Client SECOR <br /> Initial j $_bate oz I Print Print , cm at ba Client Contact Damon Brown <br /> TkwJSaQ C"+M p�"`0ntr N Company Company t,( '{� Client Phone 916 $61-0400 <br /> �' Time Date Ttme _Date 10'310y- ext.230 <br /> senor+CUsrrWe a.r aM r J <br /> Date t 0 � Page `��` <br />