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Chain of Custody Number. <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento © Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road Suits 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location 2725 Country Club Lane <br /> Stockton,CA <br /> Project# 77EL14117.03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonis a <br /> Laboratory _ Kiff Analytical <br /> Tumaround Time Standard m w <br /> Sampler's Name 1 W <br /> �r'� _ 's <br /> Sampler's Signature &r al>n 2 : a 2 a 2 9 a <br /> s $40 <br /> g Q i d E <br /> Comments! E <br /> Sample ID Date Time Matrix x w E H W Z us Q w D Instructions z <br /> SB-4 S tits' Soil X X X X X —t <br /> SB4 10' 117.0 Soil X X X X X —1'4 <br /> SB4 Iris- I Sod X X X X X 115, <br /> SBA 7.0f 1130 Soil X X X X X <br /> SS-1 r 12.30 Soil X X X X X 15 <br /> 39-1 35' 1'340 Soil X X X X X X —� <br /> S8.1 �Or 13+55, Soil X X X X X <br /> S13-1Sr Soil X X X X X - <br /> E <br /> Special Instructions/Comments Relinquished by slued by Sample Reoei t <br /> 5 Oxygenates-TAME,MtBE,EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global 1130 T0607700458(SIRC) Pnnt N'-RA Print Chain of custody seals <br /> email results to bcarey@secor cam ComPanY S6Go R Company Recd in good condihoNcold <br /> email EDF Deliverables to mkoch@sowr eom 1 ime 'i+.� 3Date 1 S?4[� Ti Date Conforms to record <br /> elinquished by Received by <br /> Sig Sign Client SECOR <br /> LePnnt Pnnt 4, Client Contact Brian Carey <br /> • Company _ •c,., Client Phone 916 861-0400 <br /> Date Time _Date a$ r, ext 241 <br /> li-IMCUSTMCPAV 2W <br /> Date +'7 (J3 Page 2 of 3 <br />