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ti <br /> r Chain of Cost Number-, 3" <br /> -6 .t <br /> SECOR' Chalk-of Custody Record <br /> N <br /> m <br /> Field Office: 077 Sacramento AFM Additional documents are attached, and are part of this Renard. w <br /> Address: 3017 VJ Road,Suite 100 .lob Name: 7-Eleven Store#32282 I , <br /> Rancho Cordova.CA Location: 2380 West Grant Lina Road <br /> Tracy,CA <br /> Project# 77EL.32262.03 Task# 0410 Analysts Request <br /> LO <br /> Project Manager Jaff Auchtsrlonlle <br /> Laboratory I(Iff Arfalytical _ OD <br /> Turnaround Tirne Standard C'M Sampler's Name Toni Miller � �5E � � ��� � n <br /> Sampler's Signature A K3 <br /> U!E - I <br /> 1111Ma <br /> Sample It] Date Time Matrnr 2 $ g <br /> $ tnstructtons <br /> MW-1 rgK . x. X-1 I x I 1 3- 01 <br /> MW-2 x x x 3 OL. <br /> MW-3 x % x 3 05 <br /> MW4 x x x 3 CJ%i U3 <br /> MW_'i x X X 3 Q g n <br /> MW-40 D x x x 3 to X <br /> pedal InstructionslComments id b : Received by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBI:,ELBE,TBA,DIPE sign Sign Total no.of containem: <br /> Global ID ffTOb07729562(SIRC) Print ,1hLl a4 4, PrInt Ch aln of custodyr aaais: <br /> EDF Dethwables(small EDF to dacaitlln@secar.com) CompanY t [=- f C ny Reed in good cond&nfcold: <br /> email tab results to dhm7ogiMsemr.com Time Date ime hate Cwfanns Go record: <br /> Relfrtquished by: Rete' D . <br /> Sig" Sign Client: SECOR <br /> Print Print — Client Contac,(: Brian caret' I> <br /> Co y Camgeny Tit Phone: 818 881-0+400 m <br /> e bete Time 6RC45 _Date—UM o� ext 241 <br /> anooewamec iwr.au _ - r� <br /> V <br /> j <br />