Laserfiche WebLink
M = M <br /> Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 0 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 Grant Line Road <br /> Tracy,CA <br /> Project# 77EL.32282.04 Task# 0402 <br /> Analysis Request <br /> Project Manager Jaff Auchterlonie a <br /> Laboratory Kiff Analytical <br /> r <br /> Turnaround Time Standard <br /> o <br /> Samplers Name Danielle Cat n-Wn ht ;I<S � io d 's <br /> Samplers Signature a a Q p N $ `�"o Comments/ e <br /> • �aYT = EE ra o E <br /> Sample ID Date Time Matrix s � m r >m z m Instructions <br /> MW41-6' 07/26/04 00-So Soil Hold 1 <br /> MW41-10' 07/26/04 Soil I X OZ 1 <br /> MW-8-16' 07126104 q: Soil X 1 <br /> MW-9-6 5' 07/26104 Soil Hold 1 <br /> MW-941' 07/26/04 •Z5 Soil X U 1 <br /> MW-9-15.5' 07126104 Soil X U 1 <br /> Special instructions/Comments <br /> R. ished_by Received by Sample Receipt <br /> 5 oxygenates-TAME,MtBE,EtBE,TBA,DIPS Sign - Sign Total no of containers <br /> Global!D#T060772956Z(SIRC) Print �J9bX�F.t 1� [aru - Print Chain of custody seals <br /> FPNs• MWS MW-9 Company _ _ �P� Company Recd in good condition/cold <br /> email EDD to dacatlin�secor corn Time Date Tim Date Conforms to record <br /> email lab results to bcarey@secor.com Relinquished by Receiv Y <br /> Sign Signhent SECOR <br /> Sin <br /> Print Print ,cf-S Client Contact Brian Carey <br /> Company Client Phone (916)861-0400 <br /> ime Date Time r_Datej2ZYVN1 ext.241 <br /> Date C)7 Page <br />