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i • • <br /> Chain of Custody Number y 4 7,30 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 0 Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#19976 <br /> Rancho Cordova,CA Location 1399 North Main Street <br /> Manteca,CA <br /> Project# 77EL19976 05 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterionle <br /> a <br /> Laboratory Kiff Analytical <br /> Turnaround Time Standard a co <br /> a_ OfhysuaDir- <br /> Sampler's Name �i,,L, V�, z x i I a m coo" M <br /> Sampler's Signature E °° v o : m <br /> g , m p } a <br /> _ E a i Comments/ E <br /> Sample ID Date Time Matnx i a m =m ; W Instructions z' <br /> - MW-1 (0'3' 1 Water x X x <br /> 3 bl <br /> . MW-1A i#;S Water x X X 3 OZ <br /> MW-2 I 1qS(V Water x X X 3 03 <br /> MWS JXp< Water x X xq!! 3 OSS <br /> Water x x x Sample 4th Quarter On 3 <br /> ~~ Water x x x Sample 4th Quarter Only 3 <br /> MW-5 !33a Water x X X <br /> ' MW-0A 3 <br /> y Water x X X 3 <br /> MWS Joy, Water x X X 3 0} <br /> MW-7 1002— Water x x X <br /> 3 D� <br /> Special Instructions/Comments Relinquished byt I <br /> �„ �„ Received by Sample Receipt <br /> 5 Oxygenates.TAME,MtBE,EtBE,TBA,DIPE Sign ✓ Sign Total no of containers <br /> Global iD#T0607700750(SIRC) Print Pe,,4 (/a n�, Print Ghaln of custody seals <br /> email EDD to cryan@secor corn Company _ 5 �� Compan Recd in good oondittoNcold <br /> email lab report to dherzog@secor com and Time Date -3-o Ti Date torecord <br /> dbrown@secor corn Relinquished by Received by,10ew,Pi <br /> Sign Sign Client SECOR <br /> PrintPnnt ` 0.bA �. Client Contact <br /> Compan Company fG C'- Client Phone l(916)861-0400 <br /> T Date Time S Date ext,279 <br /> woos aurae se«zw <br /> Date -3 a S_ Page ! <br /> I <br /> I <br />