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s � �Chain of Custody Number <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 Grant Line Road <br /> Tracy, CA <br /> Project# 77EL 32262 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie m <br /> Laboratory Kiff Analytical13 <br /> Turnaround Time Standard <br /> m <br /> O oa m yc3 —o 020 <br /> v ,n :.. F >=y 0 6 <br /> Sampler's Name Tom Miller ' _ 0 <br /> m m {q U C <br /> N <br /> � W v .m+ r <br /> u�i Ht�O ao � N eq CO 0490 O <br /> Sampler's Signature a m E 0 _ m � e m <br /> ID c <br /> �' m m Comments/ <br /> CL a. = oa `dam -- ` Eu, w 5 <br /> Sample ID Date—[Time <br /> Matrix a �- a a ° N `° o m N ° N Instructions z' <br /> P x I— w F co E- � 0 > (0 Y '0 fn tQ W ao <br /> MW-1 K x X X <br /> 3 <br /> MW-2 x X X 3 <br /> MW-3 x X X 3 <br /> MW-4 x X X 3 <br /> MW-5 J x X X <br /> 3 <br /> MW-6D 1-D x X X 3 <br /> Special Instructions/Comments Reli d b Received by Sample Receipt <br /> 5 Oxygenates TAME,MtBE,EtBE,TBA, DIPE Sign Sign Total no of containers <br /> Global ID#70607729562(SIRC) Print Print Chain of custody seals <br /> EDF Deliverables(email EDF to dacatlin@secor com) Company _SC-CiDt_ Company Recd in good condition/cold <br /> email lab results to dherzog@secor com Time Date Time Date Conforms to record <br /> Relinquished by Receivby <br /> Sign Sign Client SECOR <br /> Print Print J — Client Contact Bnan Carey <br /> Company Company —_W- l nt Phone 916 861-0400 <br /> Time Date Time CASo Date 10131 Wwb ext.241 <br /> Date ;M J b --- Page _ <br />