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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> xField Office 077 Sacramento a Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 _ _ Job Name 7-Eleven Store#17394 <br /> Rancho Cordova, CA .- . Location 4501 North Pershing Avenue <br /> Stockton CA <br /> Project# 77EL.17334.03 Task# 0410 Ana is Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical <br /> Turnaround Time Standard w o a <br /> Sampler's Name Tom Miller � 5 ' l R <br /> Sampler's Signature a _ m U <br /> Comments! <br /> Sample ID . Date Time Matrix z $ 9 : 81 Instructions <br /> MW-2 W/VIW #30 1 Water x X X �4 <br /> MW-3 3 i ,�IWater x X X —�Z <br /> M*4 a- / 3600o Water x X X <br /> MW-SA loY Water x X X <br /> MW.58 /3 Water x X X —pS <br /> Special Instnictions/Comments Relinquished by R ived by Sample Receipt <br /> 5 Oxygenates:TAME, MtBE,EtBE,TBA, DIPE Sign < Sign Total no of containers <br /> Global ID#T0607700407(SIRC) Print Print Chain of custody seals <br /> EDF Deliverables(email to dacatiin@secor com) Company Company,--' Recd in good conditiontoold <br /> email results to dherzog@secor com Time 11 Date C)IJ Ti Date Conforms to record <br /> Reliq,wished by -Received by <br /> Sign Sign �7i Client SECOR <br /> Print Print E Client Contact Bna_ nom_ <br /> Compa Company Client Phone (916)861-041 <br /> Time Date Time 17. Date oz roY ext.241 <br /> Date / v Page <br />