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ttj:• • Chap of qi:5Custody Number • <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento D Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#17334 <br /> Rancho Cordova,CA Location 4501 North Pershing Avenue <br /> Stockton,CA <br /> Project# 77EL.17334 05 Task# 0410 Anal Es Request <br /> Project Manager Jaff Auchterionie o <br /> Laboratory Kiff Analytical m y g <br /> Turnaround Time Standard12 <br /> o c <br /> R <br /> Samplers Name Peng Yangm -so m <br /> Samplers Signature m °$ Q m A o b N <br /> v d a o $ E a Comments) <br /> Sample ID Date Time Matrix x x w Instructions z <br /> P <br /> MW-2 -z gg Is 3,A Water x X X 3 <br /> MW-3 Water x X X 3 <br /> r MW4 Water x X X 3 <br /> MW-5A Water x X X 3 <br /> MW-5B Water x X X 3Un oc <br /> 5 <br /> r � <br /> Ceawm it, No <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,DIPE Sign ,� Sign Total no of containers <br /> Global ID#TO607700407(SIRC) Print Print Chain of custody seals <br /> email EDD to Cryan@seeor com Company See o e- Company Recd in good condrtion/cold <br /> email results to dherzog@secor com and Time NU U Date B•1 c; Time Date Conforms to record <br /> dbrown@secor com Relinquished by Received by <br /> Sign Sign Client SECOR <br /> Print Print .�w Client Contact Tom Miller <br /> Company Company Client Phone (916)861-0400 <br /> Time Date Time (L 2Z Date ext.279 <br /> SECORfXSMr,Rer 2= <br /> Date 6-1-os Page v <br />