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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento Additional documents are attached, and are part of this Record <br /> Address 3017 101gore Road Suite 100 Job Name 7-Eleven Store#176 <br /> Rancho Cordova CA Location 1399 North Mein Street <br /> Manteca, CA <br /> Project# 77EL.19976-04 Task# 0410 Ana sis Request <br /> Project Manager ,laff Auchterionle <br /> 0 <br /> Laboratory lOff Analytical o ID <br /> $ <br /> Turnaround Time Standard <br /> UJI <br /> o�m <br /> Sampler's Name Tom Miller a o <br /> Samplers Sign � � 1 _ � � � io � � x a Comments/ � <br /> ©ate Time Matra ' a y ccco ca 0 <br /> W Instructions Z <br /> Sample ID <br /> MW-13 <br /> ��f Water x X X <br /> 19 6 3 <br /> MW-IA 3 0a Water x X X <br /> MVV-2 3 s a / 36 Water x X X 3 <br /> /a <br /> 3 <br /> MW.3 S s } Wow X X X S <br /> MW-4 Water x X X <br /> MW-4A 3 f //3v Water X X X 3 <br /> MW-5 3 e Water X X I I X <br /> iMW-SA Y 5�'" Water x X X 3 <br /> MW-6 3 .wIVA Water x X X 3 <br /> MW-7 , 4130 water x X X 8 <br /> Special InstructionslComments Relinquished b _ Received by Sam le Receipt <br /> 5 Oxygenates: TAME, MtBE, ELBE,TBA, DIPE Sigrk Sign Total no of oontainers <br /> Global 1D#T06M00750(SIRC) Print Print Chan of custody seals <br /> email EDD to dacatltn Osecor.com Company ;p_ <br /> Recd in good condtt,on/cold <br /> email lab report to dherzog@secor.com and Time Si DatE ., o Dat Conforms to record <br /> bcarey@secor.com Relinquished by Received by <br /> Sign Sign •r-- Client SECOR <br /> Pnrrt Print ria Client Contact- Brian Care 1 <br /> Corn Company K, ..1 Client Phone- (916) 861-0400 <br /> Time 010 Date exL 241 <br /> ��c Pow Vag <br /> Date Page e.- / <br /> I <br />