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0• Chain of Custody Number 3 SLI 9 B <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento ❑ Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#20632 <br /> Rancho Cordova,CA Location 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL 20632 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonis o <br /> Laboratory Kiff Analytical i3 a <br /> Q m <br /> a N� <br /> Turnaround Time Standard W C _ ICU <br /> O g� a0 U <br /> Sampler's Name � $ a �,o g o o n <br /> Sampler's Signature m W m 0 a 1­ <br /> V a m <br /> x x V x E <br /> i;4 N �° a a Comments) E <br /> Sample ID Date Time Matrix z > _ 8 1"Co n W Instructions Z <br /> MW-1 03 1030 Water x X X 3 t <br /> MW-2 l a3 !2-y Water x X X 3 L <br /> MW-3 a I ///-S Water x X X 3 03 <br /> MW-4R /31S Water x X X 3 `{ <br /> MW-5 .? 206 Water x X X 3 DS <br /> MW-6 !oWA0 Ys- Water x X X 3 <br /> MW-7 Z d3 Water x X X 3 <br /> I <br /> Special InstructionslComments Relinquished by 0�1 oA!Vl,,f 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 Recd in good condition/wId <br /> email results to dherzog@secor com Time Date T Date Conforms to reoard <br /> Relinquished by Receiv by- <br /> Sign <br /> ySign Sign Client SECOR <br /> Print Print bWN utt Client Contact Bnan Carey_ ._ <br /> CompCompany YGI�F- Client Phone (916)861-0400 <br /> Date Time y Date O ext.241 <br /> sKM cusTWc Fast Zvi <br /> Date ��� a 3 Page o — <br />