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Chain of Custody Number <br /> law <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 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# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie m a <br /> Laboratory Kiff Analytical _ M co N m 8 w <br /> Turnaround Time Standard 9a 8 U o 'a < <br /> O :a > 0 4 0 <br /> Sampler's Name Tom Miller w o 0 � � �' � <br /> Sampler's Signatur °�' m N ° E 0D " o c ev <br /> CL °° 9 �, c E0 4° m m Q Comments/ <br /> V 0. d d o d 0 o o r m p ENO N <br /> Sample ID ,,,, Date Time Matrix z r w co r a" 8 a ' z m 'w w m Instructions z <br /> W-1 -b 1710 k!4c- x X X 01 3 <br /> MW-2 lLilo 17- D-6ij y,, x X X 02, 3 <br /> MW-3 "Y7 v - a Y x X X 03 3 <br /> MW-4 LL-7-10-0 x X X 3 <br /> MW-5 11Y45 7- <br /> o / I x X X 3 <br /> MW-6Dfp - "d x X X 3 <br /> MW-7 7-X-ark !b x X X d7 3 <br /> MW-8 7-JD-tj 1.2155 W X X X 3 <br /> MW-9 30-a Z'{D loci, x x X 3 <br /> TP-1 X X to 3 <br /> Special Instructions/Commbents Relinquished Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA, DIPE Sig Sign Total no of containers <br /> Global ID#70607729562(SIRC) Print Pnnt Chain of custody seals <br /> email EDD to dacatlin@secor.com Company . '� �� Company,--- Recd in good condition/cold <br /> email lab results to dherzog@secor corn and Time Date Ti Date Conforms to record <br /> bcarey@secor cam Relinquished by Received <br /> Sign Sign, Client SECOR <br /> Print Print t Client Contact Bnan Carey <br /> Compa Company IZ Client Phone (916)861-0400_ <br /> Date Time Of Date013 c7 O ext.241 <br /> SECOR CU57REC Rev 7199 <br /> Date ZZ b 4 Page la4 / <br />