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Cham of Custody Number 6r0 S <br /> SECOR Cham-of Custody Record <br /> Field Office 077 Sacramento E3 Additional documents are attached. and are part of this Record <br /> Address 3017 Kilgore Road,Suite 140 Job Name 7-Eleven Store 921756 <br /> Rancho Cordova,CA Location 853 East Yosemite Avenue <br /> Manteca,CA <br /> Project# 77EL 21756 04 Task# 0410 Analysis Request <br /> Project Manager Jaff Aechterlonie <br /> Laboratory Kiff Analytical m <br /> Turnaround Time Standard W m , <br /> so ! OL <br /> Sampler's Name Pen an �S m m o <br /> � z <br /> Sampler's Signature _� S R % $,g E ' Comments/ E. <br /> Sample ID Date Time Matrix HE m < g 912214% '0' w Instructions z' <br /> W-� <br /> q-3-0'f zr Water x X X c9i 3 <br /> MW-3 -3-0r v5,Sb Water x X X 3 <br /> W-4 2-.5 -1,53., Water x X X 3 <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,DIPS Sign Sign Total no of containers <br /> Global ID#70607700549(SIRC) Print Print Chain of custody seals <br /> email EDF to dacatlln@secor com Company S, Com Recd in good conditlon/cold <br /> email lab report to dhersog@secor corn Time Date qT Ti Date Conforms to record <br /> Relinquished ivedbjf <br /> Sign Sign OW Client SECOR <br /> Pnnt Print fhretClient Contact Tom Miller <br /> Comp Com y IAI; r Client Phone (916)861-04.0.0I. _ <br /> T Date TimDate Oq/0 OF— ext.279 <br /> 'ZCMCUSTMGftV 2M � ,y <br /> Date Page <br />