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9 Chain of Custody Number: U �� <br /> SECOR Chain-of Custody Record <br /> Field Office: 077 Sacramento L) Additional documents are attached,and are part of this Record_ <br /> Address: 3017 Kilgore Road,Suite 100 __. Job Nate: 7-Eleven Store#20632 <br /> Rancho Cordova,CA Location: 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL.20632.05 Task# 0410 Analys is R uest <br /> Project Manager Damon Brown <br /> Laboratory KW Analytical g e <br /> in m <br /> Turnaround Time Standard w a o CS <br /> o m ov <br /> Samplers Name Co ni 1- k v m �� � o <br /> ,p O ev � O - O a <br /> SamplerO E s Signature a 0 v S 8 m <br /> x z x E �' COmmentsl <br /> �Ud a 0. dSample ID ate Time Matrix x x w' <br /> oI* LUI Instructions z <br /> MW-1 Water x X X 3 �I <br /> MW-2 r7� Water x X X 3 <br /> MWS X03 Water x X X 3 "a <br /> MW-411 Water x X X 3 ro� <br /> MW-0 123 Water x X X 3 ro� <br /> MW4 Water x X X 3 '&t <br /> MW-7 Water x X X 3 <br /> Special Instructions/Comments Relinqui y' 1J Received by: Sample Receipt <br /> 6 Oxygenates:TAME,MtBE, EtBE,TBA,&DIPE Sign Sign Total no.of containers: <br /> Global ID#70607700798(SIRC) Print Print Chain of custody seals: <br /> email EDD to cryan@secor.com Company Compa Recd in good condition/cold: <br /> email results to dherzog@secorcom and TimeDate T' Date Conforms to record: <br /> dbrown@secor.com Relinquished by: Received by: <br /> Sign Sign - SECOR <br /> TOM ' Them.IDA Print Print Client Contact: Damon Brown <br /> tMWt Com Company �, )Client Phone: (816)861-0400 <br /> �° �—�� e Date Time r�1 b Date Zo ext 230 <br /> Coolant pr ll ! No <br /> GUM CUWrFZC ftw.ZW r1 <br /> Date: � � V Page _ <br />