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Chain of Custody Number: <br /> SECOR Chain-of Custody Record <br /> Field Office:, 077 Sacramento <br /> Address: 3017 Kilgore Road,Suite 100 ElAdditional documents are attached, and are part of this Record. <br /> Rancho Cordova,CA Job Name: 7-Eleven Store#32262 <br /> Location: 2360 West Grantline <br /> Tracy,California <br /> Project# 77EL.32262.43 Task# 0410 <br /> Project Manager Jaff Auchterlonie Anal sis Request <br /> Laboratory Kiff Analytical <br /> 17 <br /> Turnaround Time Standard `° <br /> aco " e <br /> w c a �, <br /> Sampler's Name °d ca 0 0 >° c <br /> Sampler's Signature 0 a V E <br /> �1 '0 ... V cc <br /> 0 40 <br /> NO dN m0 <br /> 0 > N a1� JO <br /> Sample ID Date Time a a o a s Co �' k"a R a Comments/ <br /> Matrix £ <br /> Instructions z' <br /> a 1-� Z G/tL1o3 wot+t' x k w► <br /> 4 <br /> Special Instructions/Comments <br /> 5 Oxygenates:TAME,MtBE, ELBE,TBA,&DIPE Relinquished by: Received by: <br /> Signry > _ Sin Sample Recei t <br /> email results to jauchterlonie@secor.com Print `� g Total no.of containers: <br /> cc results to:dacatlin@secor.com � ��'"� Print Chain of cust <br /> Company SECOR Company ody seals: <br /> Time r� t0 Date -11, Time Date Recd in good condition/cold: <br /> Conforms to record: <br /> Relinquished by: 7eceiv by:Sign � e ,Print -- �� _ Client: SECOR <br /> t Client Contact: Jaff Auchterlonie <br /> Com Company Kiff Analytical <br /> e Date Client Phone: 916 861-0430 <br /> Time OctC o Date p l Y a <br /> SECOR CUSTREC Rev.2M ext.223 <br /> Date: 96/16/03 Page 1 of 1 <br />