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Chain of Custody Number 0 <br /> SECOR Chain-of Custody Record <br /> Feld Office 077 Sacramento D 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# 77OT 41737 00 Task# 0003 Analysis Request <br /> Project Manager Todd Brown <br /> Laboratory ExelChem a <br /> Turnaround Time Standard @ 3 0 LM y H <br /> o Xw o � � Q9co <br /> Sampler's Name Damon Minarich o o c m � o H <br /> E m � atm P � eCD mo Ro m � a — a o <br /> Sampler's Signature o,; J W L Q °° m m m m � y 2 <br /> �, m � �, Qg_ � N � No � a Comments) e <br /> U LL a n. o f" g oa � o ma my ori c m U � <br /> Sample ID Date Time Matrix r i•- w �- ao m W w m � o x 0 N o a o f- � a � � Instructions z <br /> QCEB WaterX X 6 <br /> QCTB Water X X 3 <br /> �! D <br /> R <br /> Special Instrucbons/Comments Relinq t hed b Received by Sample Receipt <br /> 44 <br /> EDF Required Please Email Krissy Flesoras at Signtgn Total no of containers <br /> i 71&=rUk <br /> kfiesoras a@secor.com Pnnt D on i arich Print Chan of custody seals <br /> Company SECOR Company Rec'd in good condtan/cold <br /> Fax Results to Time 2 OM Date Time Date Conforms to record <br /> 1)Todd Brown fax 916-861-0430 Relinquished by Received by <br /> Sign Sign Client Secor <br /> Print Pnnt `LA2.1 u sn Client Contact. Todd Brown <br /> Company Company r==dJ .LJ.-^ Client Phone 916.861-0400 1 <br /> "lime Date Time 22L__Date ext.233 <br /> SECOA ago PAw ZW <br /> Date -71 L 3 IN Page 2 of 2 <br />