Laserfiche WebLink
I <br /> Chain of Custody Number- <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento Q 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 Callfotimla <br /> Project# ML19976.43 Task# 0410 Analysis Request <br /> I <br /> Project Manager Jaff Auchterlorne <br /> Laboratory Kiff AnaWtical <br /> Turnaround Time Standard m <br /> Sampler's Name Brian Care m Q ' 0320 <br /> Sampler's Signature n v Q4b 0 7 s <br /> ro S m a a Comments/ <br /> Sam le ID Date Time Matrix $ °� r g m ° r W Instructions z' <br /> u 14 06/09/03 Soil X X X1 I <br /> T3Se13 <br /> I <br /> Special Instruc4ons/Comments Relinqui�d by _ Received by Sample Receipt <br /> b Oxygenates:TAME,MtBE,E#BE,TBA,&D1PE Sign Sign Total no of containers <br /> email results to jauchterlonlef secor com Print Brian Carey Print Cham of custody seals <br /> CC results to:docatiin0secor com Company SECOR Comm Recd in good condrtion/cold <br /> Time 8 Z Date o3 Tirn Date Conforms to record <br /> Relinquished by- Received by <br /> Sign SignBent SECOR <br /> Print Print Client Contact ,laff AucMerlonie <br /> Cornpa Compan Kill Ana"cal Client Phone 916 861-0430 <br /> r Date Time r,27% Date b ext 223 <br /> AB. <br /> Date 51.27/03 Page 1 of 1 <br />