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Cham of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento M 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 /> Protect# 77EL 32262 04 Task# 0410 Analysis Request <br /> Protect Manager Jaff Auchterlonie <br /> R r d <br /> Laboratory Kiff Analytical �, ; 8 w r <br /> Turnaround Time Standard x Z, x � Q R <br /> v n 0 ¢ m c� CU`! > UUP U <br /> m Il C _ <br /> Sampler's Name Tom Miller m o m o >° ,p 20 .0 <br /> ° <br /> a a m <br /> Sampler's Signature C,4 ro co °S cNo rn ago o uNo 1° c <br /> Comments/ <br /> E <br /> SQ S � = pct `Uv —° � E0Mc. � <br /> U a a 0. o a o o t� too m c.t G n Instructions Z <br /> Sample ID Date Time Matrix = �- w m > _ m <br /> MWA <br /> tC s x X X Ol 3 <br /> MW-2 �y�°`f //Ob � s— x X X 0Z 3 <br /> MW-3 ` s )Ao x X X 03 3 <br /> MW-4 11q x X X OY 3 <br /> MW-5 t y x X X D5 3 <br /> UW-6D <br /> 16 . Mf=z x X X 04 3 <br /> TP-1 41, /r,5° GJ�tr ti x X b 3 <br /> I <br /> Special InstructionslComments Relinquished b Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA, DIPS Sign Sign Total no of containers <br /> Print i moi/ Print Chain of custody seals <br /> Global 1D#T0607729562 (SIRC) �,'� Com an Rec'd m good condition/cold <br /> email EDD to dacattin@secor com Company Comp <br /> an <br /> lab results to dherzog@secor com and e <br /> Time DatTi Date Conforms to record <br /> bcarey@secor com Relinquished by Received b <br /> Client SECOR <br /> Sign Sign <br /> Print PrintiG 114I66: Client Contact Bnan Care <br /> Compa Company _ Client Phone 916 861-0400 <br /> Date TimeL 18 Date OY� o ext.241 <br /> SECOR CUSTREC ftw 2199 <br /> Date age <br />