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Chain of Custody Number 5 b2 <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento L3 Additional documents are attached,and are part of this Record <br /> Address 3097 Kilgore Road,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA Location 2725 Country Club Blvd <br /> Stockton,California <br /> Project# 77EL14117 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie d <br /> Laboratory Krff Analytical 8 c `° e <br /> � v rA <br /> Turnaround Time Standard C a m9 R ,CD <br /> �, r <br /> Qgo om Samplers Name Tom Miller t � <br /> Sampler's Signature 4a gp <br /> O <br /> Comments/ 2 <br /> Sample ID Date Time Matrix = �t a 8 > ('0Y $Q3 < m ° Instructions z' <br /> MW-1 /' (Q Water X X X 3 d l <br /> MW-2 9 i$ iS 1410 Water X X 3 CI"Z <br /> -- MW-3 9 t73o Water X X 3 tl-�, <br /> MW-4 7 /1-3 i 7" Water X X 3 Gy <br /> -5 4 /r .) ! f.30 Water X X 3 0S <br /> MW-6 -). 1 v G) Water X X 3 6 L <br /> MW-7 y it Water X X 3 G'1 <br /> MW-8 Water X X p <br /> Special Instructions/Comments Relinquished byw` Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global[DO T0607700458(SIRC) Print -*-,, Print Chan of custody seals <br /> email EDF Deliverables to mkoch@secor cam Company 5 � Company,--- Redd in good condthonloold <br /> email results to dherzog(@secor com Time Date Ti Date Conforms to record <br /> Relinquished by Received b <br /> Sign Sign Client SECOR <br /> 1 <br /> Print Print Uient Contact Brian Carey <br /> CoCom ny�r A---A tr- Client Phone (916)861-WO <br /> Timmpan Date Time 1%6LDate-oar2Z^ ext.241 <br /> SECM arc P&am <br /> Date `/ i p Page <br />