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� I <br /> Chain of Custody Number: Z��� <br /> SECOR Chain-of Custody Record <br /> Field Office: 077 Sacramento ❑Additional documents are attached,and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#32262 <br /> Rancho Cordova CA Location: 2360 West Grantline <br /> Tracy,California <br /> Project# 77EL.32262.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory _Kiff Analytical __ e <br /> m <br /> Turnaround Time Standard W 1: 40 U oN <br /> m <br /> a a <br /> Sampler's Name Danielle Catlin-Wright o _ s °c� <br /> Samplers Signature c o g s 1 <br /> ` Comments/ <br /> Sample ID Date Time M x = 4 m ?_1 d a <br /> c (n(a �W W Instructions z <br /> *'00D5 �Y•O.' 05/03103 °f'50 Sail <br /> L ,c> lo:It <br /> ✓ Dh -Y 0 <br /> wy 11 :181 -tz. <br /> X <br /> Special Instructions/Comments Relinq ' hed by: Rec ' by: -Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Sign ign Total no,of containers: <br /> email results tolauchterlonle@secor.com Print Danielle Catlin-Wri ht Print Chain of custody seals: <br /> cc results to:dacatlin@secor.com Company SECOR Com Rec'd in good conditionlcold: <br /> Time AV;— Date _1L <br /> O T Date Conforms to record: <br /> Re hed by: Received by: <br /> Sign Sign W: �g � Client: SECOR <br /> Print Print lient Contact: Jaff Auchterlonle <br /> Company Company Kiff Analytical Client Phone: 916 861-0430 <br /> Tim Date Time �1 Date_OL�p�P3 ext.241 <br /> SECOR Ci15TREG R..2188 <br /> Date: 513103 Page 'Zpf 2 <br />