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i • <br /> Chain of Custody Number 2 5 <br /> SECOR Chain-of Custody Record <br /> 5 <br /> Field Office. 077 Sacramento E3 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# 0003 Analysis Request <br /> Project Manager Todd Brown <br /> Laboratory ExeiChem 2 a �f 2 , <br /> taU1 <br /> Turnaround Time Standard o � N <br /> ° te a L, > oD � 2 �!'jsld�J o <br /> Sampler's Name Damon Minarich o '� o m <br /> E m '� ab F- O1 o ro o m o m <br /> Samplers Signature m E UJ L N m m > m <br /> _ r 2 «� m m $ Comments/ E <br /> Sample lb Date Time Matrix x o coo LU o t z 0 m a OP .: a Instructions z <br /> MW-1 7 2gOq /A Water X X 6 <br /> MW-2 Water X X W `( L 6 <br /> MW-3i Water X X tla-61ts33 6 <br /> MW-4 Water X X 0 02NS-S-f 6 <br /> MW-5 i a .�`' 6 <br /> MW-6 ' Water X X C.� 4 �' 6 <br /> MW-7 F I Water X X i�Jf4S—� 6 <br /> MW-8 / Water X X L.)V3Ytl 6 <br /> MW-9 Water X X t„�rSSB 6 <br /> MW-10 JWq Water X X w++4 6 <br /> Special Instructions/Comments Relinqui d by �-- Received by _ Sample Receipt <br /> EDF Required Please Email Krissy Flesoras at Sign �3m r� -,Sign Total no of containers <br /> kfiesoras@secor com Y Da on Minarich Print Chain of custody seals <br /> Company SECOR Company Recd in good conditionicold <br /> Fax Results to Time Date Time Date Conforms to record <br /> 1)Todd Brown fax 976-861-0430 Relinquished by Received by <br /> Sign Sign Client Secor <br /> Print Print Client Contact Todd Brown <br /> Company Company ��i�(Carrtr� Client Phone 916-861-0400 <br /> Time Date Time Date ext 233 <br /> SEWRCUSTFMC Rft <br /> Date Page 1 of 2 <br />