Laserfiche WebLink
Chain of Custody Number. <br /> SEC Chain-ofChain-of Custody Record <br /> Field Office: 077 Sacramento E3 Additional documents are attached,and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location: 2360 West Grantline <br /> Tracy,California <br /> Project# 77EL.32262.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterionie <br /> Laboratory KW Analytical eTurnaround Time Standard a = `" (D <br /> C, <br /> Sampler's Name Danielle Catlin-Wr! i5 I �-0 809 o� 1 ,ght <br /> Sampler's Signature °° .�o o a <br /> Ke <br /> F a e Comments/ <br /> Sample ID Date Time Matrix z > o g ° w w Instructions 2 <br /> ® 06!02!03 1-.0b, 50i L. X X X -0) 1 <br /> O' ( .� —a2 <br /> 0 ' I t: "o <br /> TZ! IL1.0 41 <br /> Tz�--te' 1:S <br /> 4 - lot z:00 —0,7 <br /> '"t ® SVC 1 `a <br /> 2: <br /> ad <br /> wo Elt <br /> Special Instructions/Comments Reli ished by: Received by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Signgn Total no.of containers: <br /> email results to jauchterlonie0secor.com Print Danielle Catlin-Wright Print Chain of custody seals: <br /> cc results to:dacatlin@secor.com Company SECOR Company Recd in good condition/cold: <br /> Time _q: I I Date •o3 Time Date Conforms to record: <br /> Relinquished by: Received by: <br /> Sign Signtient: SECOR <br /> Print Print ^,k_) Client Contact: Jaff Auchterlonie <br /> Comparif Company iff Analytical Client Phone: (916)861-0430 <br /> Time Date Time Icl i / Date 0&W 03 ext.223 <br /> CCR CWF EC Rev.ZU <br /> Date: 6/2/03 Page 1 of 1 <br />