Laserfiche WebLink
Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> FFieldOffice 077 Sacramento U Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore RoadSuite 100 Jab Name 7-Eleven Store#17334 <br /> Rancho Cordova CA Location 4501 North Pershing Avenue <br /> Stockton, CA <br /> Project# 77EL 17334 03 Task# 0410 Analysis Request <br /> Project Manager Jafl Auchterlonle <br /> Laboratory Kiff Ana -cal _ m <br /> Turnaround Time Standard a2, = to <br /> oo <br /> Sampler's Name Tom Miller �, o " '� c� <br /> Sampler's Signature N N m N ° <br /> o2 � T <br /> n = z z 8° x m a Comments/ <br /> Sample ID DateTime Matrix ¢ g �, ° r Instructions z' <br /> MW 2 $-/`Y03 [33o Water X X 51 <br /> MW-3 T_-6f /yI s Water X X y <br /> MW-4 9'-61-03 ASW Water X X <br /> MW­5A YVY Y=/Y03 Water X X [� <br /> MW-5B 63 Water X X <br /> I <br /> Special Instructions/Comments Relinquished by 7 �l il�r� Received by Sample Receipt <br /> 5 Oxygenates. TAME, MtBE, EtBE,TBA, DIPE Sign Sign Total no of containers <br /> Global ID#T0607700407(SIRC) Print Print Chain of custody seals <br /> EDF Deliverables(email to mkoch@secor com) Company -7,- Company Rec'd in good condition/cold <br /> email results to dherzogOsecor.com Time t7cv�- Date Q-r,-a3 Ti Date Conforms to record <br /> Relinquished by Received by <br /> Sign Sign Client SECOR <br /> Print Print Mittel e wr�AAjeh,, Client Contact Brian Care <br /> GoCompany _�f� „�„c.,�c Client Phone (918)881-0400 <br /> Ti mpan Date Time i ct7 Date ey,Sa3 ext 241 <br /> SECOR CUSiREC Rev 2199 <br /> Date Page �o,c <br />