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9 Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento L3 Additional documents are attached,and are part of this Record <br /> Address 3417 Kilgore Road,Suite 100 Job Name 7-Eleven Store 920632 <br /> Rancho Cordova,CA Location 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL.20632 05 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory KiffAnalytical a e <br /> Turnaround Time Standard W <br /> 120 <br /> a � !3 .9 <br /> Samplers Name Jam m A B 15 <br /> a m <br /> Samplers Signature g , _ _ E Cb <br /> E R I Comments/ <br /> Sample ID Date Time Matrix x F- C r 1 w n w Instructions z' <br /> x X <br /> MW-2 — —QSI'vo Water x X X 3 <br /> MW-3 Itii# Water x X X 3 <br /> 10'1101W-411 1,12a Water x X X 3 <br /> Mw-6 11146 Water I x X I X 3 vy <br /> MW-6 Water x X X 3 <br /> j W-7 W-2 Water x X X 3 <br /> Special Instructions/Comments Relinquished by n Received by Sample Receipt <br /> 5 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 544e./ Companyate Recd in good oondthon/cold <br /> email results to dherzog@secor corn and Time Dated-/,,off Time DConforms to record <br /> dbrown@secor corn Relinquished by Received by <br /> Sign Sign 6nZF,,,r, 1 Client SECOR <br /> Print Pnnt Client Contact Tom Miller <br /> Twp•C rte,,ID/1 Company Company r - Client Phone (916 861-0400 <br /> InIW1 ��� Time Date Time /7oS Date og&fC-- ext 279 <br /> 91 <br /> Date `)-/•QS Page 1 <br />