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Chain of Custody Number <br /> SECOR Chain-of Custody Record -3'3Gtj <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# 77iEL 19976 03 Task# 0410 Anal +s Request i <br /> Project Manager Jaff Auchterlonis D m <br /> Laboratory Kiff Analytical m - fLC�, e <br /> Turnaround Time Standard N <br /> W c dmm p L L <br /> � " ' ° <br /> Sampler's Name Tom Miller '� s 5 a� a 1 In SEP 12 2003 <br /> Samplers Signature E o m n m o > N a <br /> P 9 n _ E a $ a ENV1a iA@HEALTH E <br /> Sample ID Date Time Matrix i d m _ w m w � � PEi �/iCES z <br /> MW-1 0(° Water X X 4 0 <br /> MW-1A ( O;LWater X 1X 4 ()1 <br /> MW-2 fro Water X J X 4 03 <br /> MW-3 o Water X X 4 U� <br /> MW-4 Water X X 4MW-4A 1IT: Water X X 4 <br /> MW-3 It 10 Water X X 4 U7 <br /> MW-5A D 50 Water X X 4 Or <br /> MW-6 G (oY O Water X X 4 01 <br /> MW-7 — 9 SID Water X X 4 �b <br /> I � <br /> Special Instructions/Comments Relinquished by�.-�_i�tl&., Received by Sample Recei t <br /> 5 Oxygenates-TAME,MtBE, EtBE,TBA,DIPS Sign Sign Total no of containers <br /> Global ID#fT0607700750(SIRC) - Print !! Print Chain of custody seals <br /> EDF Deliverables(email EDF to mkoch@secor com) Company Compa Recd in good condition/cold <br /> email lab report to dherxog@secor com Time to3 tDate6 _ Ti Date Conforms to record <br /> Relinquished by Recery b) <br /> Sign Sign Client. SECOR <br /> Print Print F,. c Client Contact Brian Care r <br /> Compa Company Client Phone (91S)861-0400 <br /> T Date Time X03 ate exL 241 <br /> seookaisraEcPw xrao <br /> Date ez n"L �Z Page <br />