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Chain of Custody Number 3`bt C <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 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location 2360 West Grant Line Road <br /> Tracy, CA <br /> Project# 77EL 32262.04 Task# 0402 Analysis Request <br /> Project Manager Jaff Auchterlonie a <br /> Laboratory Kiff Analytical LU m a fi e <br /> Turnaround Time Standard m C5 <br /> ��jj o W <br /> Sampler's Name L]r s Q R A t'e E,a �o W <br /> Sampler's Signature , E m <br /> X _ Lnx a% - §, E go a Comments/ <br /> Sample ID Date Time Matrix x ii; z m � Instructions z <br /> SP 7 � —4{ G a tlL�D Soil X X —DI <br /> i <br /> Specaal Instructions/Comments Relinquisd by Received by Sample Receipt <br /> Combine soil samples SP7 A,SPT-B,SP7-C,and SPT- Sign Sign Total no of containers <br /> C Into one composite sample SP74ABCD) Print `rn r\ al-04 al-04Print Chain of custody seals <br /> Company o Comp Redd in good condrhon/cold <br /> Global ID#70607729562(SIRC) Time 4 13L40 Date Time- Date Conforms to record <br /> email EDD dacatlin@secor com Relinquished by Received by <br /> email lab report to bcarey@secor.com Sign Sign i "— Client SECOR <br /> Pint Print ,A-0 A. Ot." Client Contact Brian Care <br /> Compan Company - Client Phone 916 861-0400 <br /> Time Date Time _LgD Date pcZJ0V ext 241 <br /> SECQR arc Rev Z= <br /> Date 6 o Page o <br />