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i- R-I Chain of Custody Number 6 Lq -- <br /> SECOR Chain-of Custody Record <br /> Field 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#17334 <br /> Rancho Cordova,CA Location 4501 North Pershing Avenue <br /> Stockton, CA <br /> Project# 77EL 17334 03 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchtedonie <br /> Laboratory IGff AnaWleal _ <br /> Turnaround Time Standard `� ID <br /> e <br /> O ^ a a <br /> Sample's Name Tom Miller p m c <br /> Sampler's Signature <br /> � � _ <br /> _ a a a si� Comments/ <br /> Sample ID Date Time Matrix z $ Q _ ; ° w iris#njctions i <br /> MW-2 lo Water x X X 3 4i <br /> MW-31a s"�' /o ys Water x X X 3 4Z <br /> MW-4 Water x X X 3 4'i* <br /> MW-6A l3--J--,03 Water x X X 3 44 <br /> s <br /> MW-013 1�"S 3�e Water x X X 3 05 <br /> i <br /> I <br /> Special Instructions/Comments Relinquished by ,,, /,, eceived by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA,DIPE Sign Sign Total no of containers <br /> Global ID#T0607700407(SIRC) Print /z Print Chain of custody seals <br /> EDF Deliverables(email to dacatlin@senor com) Company Company Recd in good condition/cold <br /> email results to dherzog@secor.com Time Date Time Date Conforms to record <br /> Relinquished by 'Received by <br /> Sign Sign /A/\, Client SECOR <br /> Print Print NfnY piMbcA Client Contact Bnan Care <br /> Compa Companytccrer-Ao)A% oyzc.,. Client Phone (916)561-0400 <br /> TI Date Time tMN Date t'L1p0 ext 241 <br /> Date /1 G p Page /6y-:" <br />