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AIM& <br /> Cham of Custody Number <br /> r <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 Kilgore Road,Suite 100 Job Name Time Oil <br /> Rancho Cordova,CA 95670 Location 14000 East Highway 88 _ <br /> Lockford,CA <br /> Project # 770T 41737 00 Task# 0003 Analysis Request <br /> Project Manager Todd Brown <br /> Laboratory ExelChem a a a <br /> Turnaround Time Standard m }a. LU, b �, <br /> C . m <br /> Sampler's Name Brandon Schlegel c S 0 0 W cm a o a aU. <br /> m o ro °l a p T <br /> Sampler's Signature II, E Ld m m N m o ; R a o <br /> zT x � °.° m a ?� 9g;° Ea � No Commentsr E <br /> Sample ID Date Time Matrix o co m 2 w � m : m r ; u, m a w t, a 2 Instructions z' <br /> QCEB `l t o lq (, Water X X N0404152 6 <br /> QCTB Water X X 151.4 3 <br /> Special Instructions/Comments Relinquished by Receive b <br /> Sample Receipt <br /> EDF Required Please Email Stacie Hartung at Sign Sign Total no of containers <br /> shartung@secor com Print Brandon Schlegel Print Chain of custody seals <br /> Company SECOR Company Rec'd in good conditionicold <br /> Fax Results to Time Date '1# i Utt Time DatE Conforms to record <br /> 1)Todd Brown fax 916-861-0430 Relinquish by Received by <br /> Sign Sign Client Secor <br /> Print Print (,y/z— (!-- Client Contact Todd Brown <br /> Company Company e c c.(", � Client Phone 916-861-0400 <br /> Time Date Time Dat s ext 233 <br /> CECOR CiiSTREC Rer ar99 <br /> Date .__ Page 2 of 2 <br />