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Chain of Custody Number I�aZca <br /> SECOR Chain-of Custody Record Z -Z <br /> Field Office 077 Sacramento Q Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Sude 100 Job Name 7-Eleven Store 020632 <br /> Rancho Cogav CA Location 4627 DaVincl Dr <br /> SWcktan,CA <br /> Project# 77EL20632.04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Klff Analytical <br /> Tumamund Time Standard x <br /> Sampler's Name Damon Brown <br /> Samplers Signature c n m ° o ` s <br /> a _ x � � <br /> � Espa <br /> Comments/ <br /> Sample ID Date Time Matrix = r- ►a- m >g =S A b w M w Instructions <br /> S6— ie, - 01/31/06 17If.$' Soil X X ( 1 <br /> 1131 IV 75 50.i <br /> 131 +S SS Saar p <br /> 56 �3 a rla� 13," 5,0.1 X <br /> g 3C 1`1110 5.0 <br /> Special Instructions/Comments Relinquished by Received by Sample Receipt <br /> Sign Sign Toth no of containers <br /> emall results to dbrown@secor corn Print Damon Brown Print Chain of custody seals <br /> dherzog@secor corn Company SECOR Com Recd in good conddaVcold <br /> Time 16_,zcp Date z Date Conforms to reoord <br /> Relinquished by Received bYA— <br /> Sign Sign Client SECOR <br /> Pont Print Client Contact Jaff Auchtetlonle <br /> Comp an Compa Kiff Analytical Client Phone (916)$61-0430 . <br /> Time Date TimeDate _ ext.223 <br /> Date 01131105 Page 1 of 1 <br />