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Chain of Custody Number- L45 (A -7 94 <br /> SECOR Chain-0f Custody Record <br /> Field Office 077 Sacramento El Additional documents are attached,and are part of this Record <br /> Address 3017 Kll ore Road,Suite 100 Job Name 7-Eleven Store#19976 <br /> Rancho Cordova,CA Location 1399 North Main Street <br /> Manteca CA <br /> Protect# 77EL.19976 05 Task# 0410 Analysis Request <br /> Project Manager <br /> Laboratory Klff Analytical � � 8 e <br /> Tumaround Time Standard <br /> Sampler's Name <br /> Sampler's Signature $ e 8 <br /> I = x a _ E e Comments! <br /> Sample ID Date Time Matrixi i 7 m z m m + w Instructions z' <br /> MW-1 $-1 f p p(, Water x X X 3 0l <br /> MW-1A 14U Water x X X 3 -a1 <br /> MW-2 Iipt3 Water x X X 3 63 <br /> MW-3 )(o)q Water x X X 3 <br /> MW4 jYSI, Water x X X SBttlple14and*d 944fli", 3 oS <br /> Mw.4A ts3S <br /> Water x X X 3 <br /> MW-0 1753 Water x X X 3 -7 <br /> MW-GAS� Water x X X 3 Ar <br /> LAL <br /> MW-0 13gL Water x X X Temp! 11ieW 3 -01 <br /> MW-7 /;)6 Water x X X Thne Coolest !N 3 i0 <br /> Special Inshuctions/Comments Relinquished by VRA Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA,DIPE Sign Sign Total no of containers <br /> Global ID#T0607700750(SIRC) Print '-pE�C, Vq r L Print Chain of custody seals <br /> email EDD to cryan@secor.com Company S c e w Compan Recd in good condibonfoold <br /> email lab report to dher:og@secor com and Time Date i -o Ti Date Conforms to record <br /> dbrown@secor com Relinquished by Received by <br /> Sign Sign Client SECOR <br /> Print Print Client Contact <br /> Compan Company Client Phone (916)861-0400 <br /> Tim Date Time 1555 Date <br /> sfcaa CLGTRSC wr 240 <br /> Date $-c S-oT Page 1 <br />