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Cham of Custody Number 949 l(0 <br /> SECOR Chain-of Custody Record <br /> [Address <br /> ield Office 077 Sacramento Q Additional documents are attached,and are part of this Record <br /> 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#19976 <br /> Rancho Cordova,CA Location 1399 North Main Street <br /> Manteca,CA <br /> Project# 77EL 19976 03 Task# 0410 Analysis Request <br /> Protect Manager .gaff Auchterlonle <br /> 0 <br /> Laboratory Kiff Analytical m - a <br /> tl <br /> 4 Tumarou d Time Standard a a i w N C � <br /> m <br /> W Q m a m � > o a 9 <br /> Sampler's Name Tom Miller _ o C m 0 $ <br /> m � 2 a am <br /> Sampler's Signature m o E co a H v c a a n m <br /> ❑ tl � � � 16a�opm �aW <br /> U a a o o o 4 �o m N U d Comments/ E <br /> Sample ID hate Time Matrix x r W d� x �o �, w Instructions i <br /> MW-1 9 I--,3 g o r. Water X X <br /> MW-1A , 15%fr water X Xa2 <br /> 3�4 -Z <br /> MW-2 'r 14--,2 l4`+ Water X X 3LdT <br /> MW-3 9 oz- 113o Water X X <br /> MW-4 13-v o Water X X <br /> S <br /> MW-4A Water X <br /> X a� <br /> MW-5 Water X Xy 0� <br /> MW-5A y rr-o f?! Water X X ,� d g <br /> MW-6 S .,T�j 1�/! Water X X O <br /> MW-7 43 1 S oo Water X X <br /> 31 <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#T0607700750(SIRC) Pnnt ��, ,� / Print Chain of custody seals <br /> EDF Deliverables(email EDF to mkoch@secor corn) Company (' „L Company Recd in good condition/cold <br /> email lab report to dherzog@secor com Time J 4L0E_Date at 16 U T Date Conforms to record <br /> Relinquished by Received by <br /> Sign Sign tient SECOR <br /> Print Print Client Contact Bnan Carey <br /> Compa Company tom+ !± v Ciient Phone _1916)869-Mo <br /> Tim Date Time l�rj� Date ext.241 <br /> s�ooaau�crrs�Z" <br /> Date /r'o 3 Page <br />