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a --0 <br /> Chain of Custody Number <br /> SECOR Chain-of Cusfody Record <br /> Field Office Sacramento nElAdditional documents are attached, and are part of this Record <br /> Address 30011 7 Kilgore Road,Suite 100 Job Name 7-Eleven Store#20632 <br /> Rancho Cordova,CA Location 4627 Da Vinci Drive <br /> Stockton,Califomia <br /> Project# 77EL 20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlorne <br /> Laboratory Kiff Analytical N <br /> Turnaround Time Standard a V co °' in <br /> S g R ,� N m <br /> c <br /> Sampler's Name ped r m O A m <br /> Samplers Signature m m 6 E as U o m c m d 9 Q m16 <br /> 1° m m � mato coo mC d <br /> v a �° a 8' E 'a Comments/ a <br /> Sample ID Date Time Matrix a Q C N o m N o a E <br /> Sao � � � = � � � ti <br /> MW-1 � 03 Q�s7 Instructions z' <br /> Water x X X 3 <br /> MW-2 /D 1 03 1 p-w Water x X <br /> MW`3 a ///.� X 3 Water x X X 3 <br /> MW-4R o � � /3/� Water x X X 3 <br /> MW-5 W a1 2od Water x X X <br /> 3 <br /> IMW-6 Water x X X 3 <br /> MW-7 Water x X X 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#70607700798(SIRC) Print ` �-� Print Chain of custody seals <br /> EDF Deliverables(email to dcatlin@secor com) Company Compa Rec'd in good condibon/cold <br /> email results to dherzog@secor com Time DateT Date Conforms to record <br /> Relinquished by Receiv by <br /> Sign Sign Client SECOR <br /> Print Print b3l a ti Client Contact Bnan Carey <br /> Comp Company Y-fi�(� Client Phone 916861-0400 <br /> Date Time _Date O ext 241 <br /> SECOR cusrnEC Rav zw <br /> Date, 3 Page�p�/ <br />