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IM MI 111111IN111 11111011111 IN11111111111 <br /> Chain of Custody Number <br /> NOW <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 0 Additional documents are attached, and are pan`,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 /> Trapy, CA <br /> Project# 77EL 32262.04 Task# 0402 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical _ wa ; N <br /> T <br /> N <br /> Turnaround Time Standard ui 1 = Co <br /> m y a 122 <br /> m 0 w e <br /> Sampler's Name Danielle Catlin-Wri ht m ° '� " 0 <br /> Sampler's Signature ro a E = N v occ COP C'4 00 eq <br /> a ° <br /> ° m = o 5 a o F Comments/ <br /> Sample ID Date Time Matrix a N a 4 0 ° N `° o °' N o Instructions z' <br /> P = � cc � m ato > mrcococ° <br /> SP8 ABCD -04 01S'0 Soil X X Pis Composite 4 into 1 4 <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> Combine soil samples SP8-A,SP8-B, SP8-C, and SP8- Sign _, Sign Total no of containers <br /> C into one composite sample SP8(ABCD) Print Danielle Catkin-Wright Print Chain of custody seals <br /> Company Company Recd in good condition/cold <br /> Global ID#T0607729562(SIRC) Time Date Ti _TDate Conforms to record <br /> email EDD dacathn@secor corn Relinquished by Receive <br /> email lab report to bcarey@secor com Sign Sign n Client SECOR <br /> Print Pnntiti Client Contact Bnan Carey <br /> Company Company K Analytical Client Phone (916)861-0400 <br /> Ti Date Time Z=_ Date (}yipq ext,241 <br /> SECOR CUSTREG Rev ZM <br /> Date 7/26/2004 Page 1 of 1 <br />