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� tttttttti tttttttti titttttti tttttttt� til• � lil � ttttttttlr tttttttti �� � �N ta• �� � i�r <br /> Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento VUQ 11112 U Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 _ Job Name Time Oil <br /> Rancho Cordova,CA 95670 Location 14000 C=ast Highway 88 <br /> Lockford,CA <br /> Project# 770T 41737 00 Task# 0004 Analysis Request <br /> Project Manager Todd Brown Ldm <br /> Laboratory ExelChem <br /> Turnaround Time Standard a m m <br /> ads <br /> N <br /> m � a � <br /> x W ^va O <br /> Wright Sampler's Name Ben Wht c D o m w o <br /> Sampler's Signature a, K m w ) <br /> n iu -• m � m Comments) e <br /> Sample ID Date Time Matrix s o m w a uoi Instructions z' <br /> S - uL 11 Ozay o, 1 0 5 — l 3- LL <br /> to qb y 2 - S HoLp i <br /> -I t5 L4 I I 0 2 5 - l QLD � � <br /> -�y z 0 — 2 0 µbL t <br /> 0 411 ! 025 " 21 mp 1 <br /> 5644 Q *3 quo 0 4 ( t 0 Z Ila - Z 3N-a`0 t <br /> 50-IL( qo x [ I 0 2 5 - 2 4 <br /> 5 -rq @ y 1 0 2 5 — 2 5 <br /> t00% X [ [ 0 29 Z b I <br /> 2 ;Lt -O1D 1 <br /> Special Instructions/Comments Relinquished by Received by ei Sample Receipt <br /> EDF Required Please Email Knssy Flesoras at Sign Sign Total no of containers <br /> kflesoras@secor corn Print Ben Wnght Print „,,,,,� ,� ins Chain of custody seals <br /> Company SECOR Company cr Recd in good conddtonlcold <br /> Fax Results to Time '�, Date i D Time J r/�� Date N 5 o Conforms to record <br /> 1)Todd Brown fax 916-861-0430 Relinquished by Received by <br /> Sign Sign Client Secor <br /> Print Print Client Contact Todd Brown <br /> Company Company Client Phone 916-861-0400 <br /> Time Date Time Date ext.233 <br /> SECOR C[15fREG Mr 7N9 <br /> Date _Ilpzp`I Page of '7 <br />