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Chain of Custody Number3`'�rJ�2 <br /> SECQR Chain-of Custody Record <br /> Field Office 077 Sacramento © Additional documents are attached,and are part of this Record <br /> Address 3017 Kit ore Road,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location _2725 Country Club Lane <br /> Stockton,CA <br /> Project# 77EL 14117.03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie a <br /> Laboratory Kiff Analytical w e <br /> Turnaround Time Standard ` g Sol : O o ±R <br /> O ewy " � o e <br /> Samplers Name <br /> Samplers Signature Lm a o <br /> Comments/ <br /> Sample#D Date Time Matrix = g E w z uai a w o a Instructions I i <br /> Mw-8 g., MqJ03 soil x x x x x <br /> IIAW-8 to 0925 Soil X X X X X --O2 <br /> MWS I S' C230 Soil x x x x x `0'S <br /> MW-8, 2.d 0$3S Soil x x x x x X �p <br /> MW-8. 2-5' 0%40 Soil X X X X X <br /> we 30' pg s soil x x x x x <br /> dv <br /> Mw-8 3 $So Soil X X X X X —0-7MW-8 D" am- Soli X X X X X <br /> MW$ LAqo Soil X X X X X X <br /> MW-8 SU' 0qS Soil x x x x x —1 v <br /> Special Instructions/Comments Relinquished by ived by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global ID#70607700458(SIRC) Print BrICIA Print Chain of custody seals <br /> email results to bearey@secor.com Company S Compan Recd in good conddion/cold <br /> email EDF Deliverables to mkoch@secor com Time*JJ�00 Date 0 Date Conforms to record <br /> Re wished by Received by <br /> Sign Sign v9 Client: SECOR <br /> Print Print ,p Bzfvjk,r Client Contact Brian Care <br /> Company Company Client Phone (816)861-0400 <br /> Time Date Time rhI _Date ft1ZPo3 ext 241 <br /> sEcae cusr=ftv 2W <br /> D l 03 Page AJWf 3 <br />