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Chain of Cu!!2_q 3 3 3 b <br /> SECOR Chain-of Chain-ofCustody Record <br /> Field Office: 077 Sacramento L3 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 Auchtedonle <br /> Laboratory Kiff Anal ical <br /> co <br /> Turnaround Time 1j8 r, T,4r <br /> .. ;, sn m L <br /> X ; I in L <br /> Samplers Nam Danielle in-Wri ht �� > g i l m� m 8 <br /> Samplers Signatu Cd ®g 2!2 is R <br /> Comments/ <br /> w ;WSample ID Date Ti <1 1 a <br /> 1 1 1 Instructions <br /> S - D S.31 Soil X1 X dw3ftk& ` 1 <br /> s <br /> +� Z —02— <br /> Special <br /> offSpecial Instructions/Comments Relinquish d b : Received by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Sig 1 • ign Total no.of containers: <br /> email results to jauchtedonieesecor.com Print Danielle CatlinIS.hV PrintChain of custody seals: <br /> cc results to:daca0in@secor.com Company SECOR Company Recd in good condition/cold: <br /> co to if •�+�1` 1 (A• Time : if Date •os•p� Time Date Conforms to record: <br /> r� Relinquished by: Received by: <br /> Sign Sign .,r tient: SECOR <br /> Print Pring jb.lrc�.� Client Contact Jaff Auchtedonle <br /> Company Company" Kill Analytical analytical Client Phone: (816)861-0430 <br /> Time Date Time I q: i I Date o&*&:*3 ext.223 <br /> SECOR CUSTWC Am ON 06!OX•03 <br /> Date:229M Page 1 of 1 <br />