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Cham of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento E3 Additional documents are attached,and are part of this Record <br /> Address 3017 Mi are Road,Surte 100 Job Name 7-Eleven Store#19976 <br /> Rancho Cordova CA Location 1399 North Main Street <br /> Manteca,CA <br /> Project# 77EL 19976 04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory Kiff Analytical <br /> � 8 <br /> Turnaround Time Standard w a 8 <br /> - � � gg <br /> Sampler's Name i<N V o 8 ra m <br /> Samplers Signature a m a o e 0 g <br /> _ � S = a � E a Comments) E <br /> Sample ID Date Time Matrix $ � $ �g = n Olin wl Instructions z' <br /> MW-1 - -o Water x X X 3 <br /> MW-1A 9-} -&W Ivy Water x X X –OZ 3 <br /> MW-2 <br /> lq-lr-6w 110b Water x X X 3 <br /> MWS -o o Water x X X 3 <br /> W4 -7-,r<-Oy 140 Water x X <br /> MWS 9-1<--oq 115S Water x X <br /> MW-b 9-t5-o 1 'S Water x X x '-07 3 <br /> 1533 Water x X X 3 <br /> -- MW-6 -1 -s < Water x X X 3 <br /> MW-7 •r5 aI 174o Water x X X 3 <br /> Special Instructions/Comments Relinquish by 6 VPReceived by Sam le Receipt <br /> 5 Oxygenates. TAME,MtBE,ELBE,TBA,DIPS Sign Total no of containers <br /> Global ID 970607700750(SIRC) Print _ yam UA14(m Print Chain of custody seals <br /> email EDD to dacatlin@secor com Company SxCe-1 Campa Redd in good condibon/cold <br /> email lab report to dherzog@secor com and Time 17D(i—Date__jjj.Lj Time a Conforms to record <br /> bcarey(Dsecor.com Relinquished by Received b <br /> ign Sign <F Client SECOR <br /> P t Print l or.E Client Contact <br /> Com �nny Company ` Client Phone (916)861-0400 <br /> Tune to Time t2je Date Q 1 ext 279 <br /> SECORCUSTREGF"2M <br /> Date Page I <br />