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Chain of Custody Number <br /> SECOR Chain-of Custody Record * <br /> Field Office 077 Sacramento ❑ Additional documents are attached, re 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 Auchterionie <br /> Laboratory Ktff Analytical c <br /> Turnaround Time Standard a <br /> Samplers Name tg44 <br /> Samplers Signature ° <br /> Comments/ <br /> Sample <br /> Sample lD Date Time Matrix = r � r � 8 co � ° � Instructions z <br /> MW-1 3 43 /r'200 Water X X GI Pra.wrV'e{ -01 <br /> MW-2 Water X X -OL <br /> MW-3 1,250 Water X X -03 <br /> MW,4R /3�S Water X X Cq <br /> MW-6 y),P15 Water X X -p <br /> MW-6 1135 Water X X -otp <br /> MW-7 V? Water X X -01 <br /> Special Instructions/Comments Relinquished b :Print <br /> eived by Sample Receipt <br /> i <br /> 5 Oxygenates:TAME, MtBE,EtBE,TBA, &DIPE Sign Total no of containers <br /> Global ID#T0607700798(SIRC) Print /f42�1 Chain of custody seals <br /> EDF E}eljverables Company p Recd in good conditionlcold <br /> email results to bcarey@secor corn Time Date a Date Conforms to record <br /> Relinquished by Received by <br /> Sign Sign rak Client SECOR <br /> Print Print l•3r, „�,�,�., Client Contact Brian Carey <br /> Co ny Company C etl Client Phone (916)861.0430- <br /> Time Date Time l&f, Date g1Z rL ext 241 <br /> SUM CUSTF EC Rw M <br /> Date3 d26 Page <br />