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Chain c f Custody Number. <br /> SECQR Chain-of Custody Record <br /> Field Office: 077 Sacramento ® Additional documents are attached, and are part of this Record. <br /> Address: 3017 Kll are Road,Suite 100 Job Name: 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location: 2725 Countrx Club Lane <br /> Stockton,CA <br /> Project# 77EL.14117.03 Task# 0410 ei Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory MIT Analytical u a <br /> Turnaround Time StandardW m -E <br /> q z o 0 <br /> 18 m w <br /> Sampler's Name m <br /> Sampler=s Signature $ g <br /> a Comments/ 2 <br /> Sample ID Date Time Matrix ' z w a Instructions z' <br /> SB4 S� �1S` Soil X X C) <br /> SB-1 1Or tl?A Soil X X <br /> SB-1 4Y?.S Soil X X <br /> S-1 20; 1,10 <br /> I sari x x <br /> SB-1 ' 123a soil X X <br /> SB-1 3s' 1"31io Soil X X X L <br /> SB-1 d 13q 5' Soil X X -� o � <br />' SB-1 sf Ak1S Soil X X 41il <br /> 0 <br /> Special Instructions/Comments Relinquished by. ived by: Sample Receipt <br />�1 5 Oxygenates:TAME,.MtBE, EtBE,TBA,&DIPE SignSI n <br /> 9 Total no_of containers: <br /> Global ID#T0607700458(SIRC) Print i q,n Print Chain of custody seals: <br /> email results to bcarey@secor.com Company a R Company Recd in good conditionloold: <br /> email EDF Deliverables to mkoch@seeor.com Time V q Date y o T[ Date Conforms to record: <br /> elinquished by Received by- <br /> Sign <br /> ySign Client: SECOR <br /> Print PrintN ,...1 Client Contact. Brian cavy <br /> MCM CUSTREC Rev.2- Com CompanyClient Phone: (91$)881-0400 <br /> e Date Time 1%1-5, Date n ext.241- <br /> II <br /> �- US Date: Page '7 of 3 <br />