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• • Chain of Custody Number L( 3�- • <br /> SECOR Cham-of Custody Record <br /> Field Office 077 Sacramento D Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store 017334 <br /> Rancho Cordova,CA Location 4501 North Pershing Avenue <br /> Stockton,CA <br /> Project# 77EL.17334 05 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterionie o <br /> Laboratory Kiff Analytical o e <br /> Turnaround Time Standard T ., <br /> oa R o s �, <br /> � m <br /> o <br /> ti � <br /> Sampler's Name Peng V z3 8 o �o 3 o a' s <br /> Sampler's Signature a 3 s eqr <br /> N a15- Cco Comments) <br /> Sam le ID Date Time Matrix x m a m z 2 ; ,� m Instructions z' <br /> ;W-2 - o ' 1330 Water x X X 3 vl <br /> / MW-3 1Y1L Water x X X 3 Q� <br /> MW-4 /(.31, Water x X X 3 03 <br /> MW-5A 1500 Water x X X 3 eY <br /> MW-5B ►S YL Water x X X 3 Of <br /> Special InstructionslComments Relinquished k �H Received by Sam le Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,DIPE Sign Sign Total no of containers <br /> Global ID#70607700407(SIRC) Print K Print Chain of custody seals <br /> email EDD to cryan@secor cam Company -1 <br /> StCa C Company Recd in good condition/cold <br /> email results to dherzog@secor.com and Time Date -2-a< Time Date Confonns to record <br /> dbrown@secor cam Relinquished by eceived b <br /> Sign Sign Client SECOR <br /> Print Pint !( Client Contact Tom Miller <br /> Compan Company ) k Client Phone (916)861-0400 <br /> Ti Date Time UL —Date pyo s ext 279 <br /> SECOR auMc w.vac <br />� Date Page ! <br />