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Chain of Custody Number: 3 3Z <br /> SECOR Chain-of Custody Record <br /> Field Office: 077 Sacramento El Additional documents are attached,and are part of this Record. } <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location: 2360 West Grantline <br /> Tracy,California <br /> Project# 77EL.32262.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical � m <br /> 124 <br /> Turnaround Time Standardw _ o y <br /> Sampler's Name Danielle Catlin-Wrl ht m <br /> m <br /> Sampler's Signatureg6 Z <br /> _ _ 8° $ Comments/ <br /> Sample ID Date Time Mairix r W de >m io °w w Instructions z' <br /> 06J02103 Omb- rte'01 L ' x x x —o! 1 <br /> o is <br /> �4. <br /> -� <br /> 04.0 <br /> - lot <br /> Z. �v7 <br /> NAJ 2:So I Vii dcr p <br /> Special Instructions/Comments Reli fished by; Received.by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Sign gn Total no.of containers: <br /> email results to Jauchterlonie@secor.com Print Danielle Catlin-Wright Print Chain of custody seals: <br /> cc results to:decatlin@secor.com Company SECOR Company Reed in good condition/cold: <br /> Time DateOro;,q,7K.o3 Time Date Conforms to record: <br /> Relinquished by: Received by: <br /> Sign Sign lient: SECOR <br /> Print Print Client Contact: Jaff Auchterlonle <br /> Compangr Company Kiff Analytical Client Phone: 916 861-0430 <br /> Time Date Time ly; rl Date__QkLo2.03, ext.223 <br /> BECOR CUSTREC R...2M <br /> Date: 612103 Page 1 of 1 <br /> i <br />