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I <br /> Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento El Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road Suite 100 ,lob Name 7-Eleven Store#19976 <br /> Rancho Cordova CA Location 1399 North Main Street <br /> Manteca,California <br /> Project# 77E1_.19976.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory _ Kiff Analytical _ <br /> Turnaround Time Standard �' a � 2 <br /> Sampler's Name Brian Carey 3 <br /> Sampler's Signature ~ a I °° <br /> $ r = 1: � 9 6 a Comments/ <br /> Sample ID Date Time Matrix = w w m � i$ a w w Instructions <br /> G14 06/09/03 Soil X X X 1 <br /> SSG-' iZr <br /> rt3� � E3 <br /> I <br /> I <br /> Special Instruns/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE, EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> email results to jauchterionis@secor com Print Brian Ca Print Chain of custody seals <br /> cc results to:dacatlin®secor com Company SECOR Compan Recd in good condition/cold <br /> 2a Tlm <br /> Time 1 _Date q a3 Date Conforms to record <br /> Relinquished by Received byf j.4 <br /> Sign Sign Irent SECOR <br /> Print Print Client Contact Jaff Auchterlonie <br /> Compa Compan Kiff Anal ical Client Phone 916 861-0430 <br /> T Date TimeDate 0 ext 223 <br /> 8£CORCUMECFw 7199 <br /> Date 5127/03 Page 1 of 1 <br />