Laserfiche WebLink
Chain of Custody Number J 7 l <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 Auchterlonie <br /> Laboratory Kiff Ana heal Y <br /> C4 m N <br /> Turnaround Time Standard a H a 1 v <br /> Sampler's Name Tom Miller 0 <br /> I 's ' �, m <br /> o <br /> Samplers Signature Q v .m I i a <br /> Comments/ <br /> Sample ID Date Time Matmc $ g ° Instructions z' <br /> MW-2 ,]q/e,t Oyu Water X X bti <br /> MW-3 S1-191"- 1 Water X X a2 <br /> MW-5B IF001 Water X X L/ 03 <br /> MW-4 a a o] Water X )( oy <br /> MW-5Aa� <br /> VS' Water X X 0S <br /> Special Instructions/Comments Relinquished by �.. ,. Received by Sample Receipt <br /> 5 Oxygenates.TAME, MtBE, EtBE,TBA, DIPE Sign Sign Total no of containers <br /> Global ID#T0607700407(SIRC) Print Pant Chain of custody seals <br /> EDF Deliverables Company SC-la Compan Rec'd in good conddion/cold <br /> email results to bcarey@secor.com Time Date Time Date _ Conforms to record <br /> Relinquished by Receivedy N � <br /> Sign Sign Client SECOR <br /> Print Print NATO& I conS Client Contact Brian Care <br /> Compan Company ,k,,� Y , Client Phone 916 861-0430 <br /> Ti Date Time S $o b Date o Z I o%) ext 241 <br /> SECOR Cu6TREC Rear ZW <br /> Date Page 6 <br />