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i <br /> Chain of Custody Number 0"7 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento EI Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location 2725 Country Club Blvd <br /> Stockton,California <br /> Protect# 77EL14117 05 Task# 0410 Analysis Request <br /> Protect Manager Jaff Auchterionle c <br /> Laboratory Kiff Analytical _ is <br /> Turnaround Time Standard Q _ Z a a 6 , L C <br /> o <br /> Sampler's Name Pen Van <br /> Sampler's Signature z E m A S N m m Comments) IRE <br /> Sample ID Date Time Matrix i � m m =5H <br /> z la 2 w Instructions z' <br /> MW-1 LyILL H2O x X I X —d 3 <br /> MW-2 I'M H2O x X X -0:z 3 <br /> MW-3 ILC& H2O x X X -03 3 <br /> MW4 /.5,?f H2O x X X -O 3 <br /> MW-15 133H20 x X X 3 <br /> MW-6 12z5 H2O x X X , 3 <br /> MW-7 1300 H2O x X X "-CF7 3 <br /> MW-8 / p H2O x X X -07 3 <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#T0607700458(SIRC) Print v/ Print Cham of custody seals <br /> email EDD dacatlln@secor com Company S 4 P r,r Company Recd in good candoNcoid <br /> email lab report to dherzog@secor cam and Time Date j Time Date Conforms to recoM <br /> tmiller@secor corn Relinquished by ACceived by ViW <br /> Sign Sign Client SECOR <br /> Print Print vamy. Client Contact Tom Miller <br /> Company Company JSO,AMqLYW Client Phone 916 861-0400 <br /> Tfine ate Time qL _Dateq* ext.279 <br /> SECOR CV57REC Rw 7W4 <br /> Date 2 -D Page 1// <br /> • i <br />