Laserfiche WebLink
Chain of Custody Number r�� <br /> SECOR Chairs-of Custody Record <br /> Field Office 077 Sacramento ow 11112 Dio D5 Q 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 East Highway 88 <br /> Lockford, CA <br /> Project# 770T 41737 00 Task# 0004 Analysis Request <br /> Project Manager Todd Brown <br /> to <br /> Laboratory ExelChem %a o <br /> Turnaround Time Standardm r r7 m <br /> d a� CdNa 2 <br /> }+ui a `o <br /> X <br /> Sampters Name Ben Wright n 0 o m 0 w <br /> E Cd � `o <br /> Samplers Signaturew�, x as ui <br /> o = ui &D m v m Comments/ E <br /> Sample ID Date Time Matrix = 1(L-_ 00 m w a Lu Instructions z <br /> Sg I 1A 701 tall y 0 L4 0 21g 2 ifa L,) <br /> S -ry tit k 0 1 1 0 2 5 Z <br /> 0 2 5 30 HoL-0 i <br /> -1y _ 11 00 -31 <br /> 5 -rel 8th ,t�$ 04 1 1 025 - 32 oLn <br /> Special Instructions/Comments Relinquished by Received by 4064 Sample Receipt <br /> EDF Required Please Email Krissy Flesoras at Sign Sign „T Total no of containers <br /> kflesoras@secor com Print Be WngffL Print M,^4;se X"'s- Chain of custody seats <br /> Company SECOR CompanyRecd in good conditionlcoid <br /> Fax Results to Time Date1l&-1jpul Time /V,eo Date // So 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 /> SEGOR CU87REC fla 2190 <br /> Date _1J 10.11)14 Page 4 of <br />