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Chain of Custody Number: 3� 3 <br /> SCOR Chain-of Chain-ofCustody Record <br /> Field Office: 077 Sacramento <br /> Address: 3017 Kilgore Road,Sults 100 Additional documents are attached,and are part of this Record. <br /> _ <br /> Rancho Cordova CA Job Name: 7-Eleven Store#32262 <br /> Location: 2360 West Grandins <br /> Tracy,California <br /> Project# 77EL32262.43 Task# 0410 <br /> Project Manager Jaff Auchtedonie Analysis Request <br /> Laboratory Kiff Analytical r <br /> Turnaround Time Standard a in s <br /> a <br /> Sampler's Name W $ m <br /> Sampler's Signature <br /> 420ro Sam le IDDate Time Matrix g � ; Comments/ <br /> Instructions zT- L � 6 161® : � l�r .}��. A,k a 4i <br /> Special Instrucctions✓Comments Relinquished by: Received b <br /> 5 Oxygenates:TAME,MtBE,EtBE,TBA,&DIPE Sign I y -Sample Recei t <br /> email results to jauchterlonieesecor.com Print ' 4eb <br /> 'total no.of containers: <br /> cc results to:dacatlinesecor.com Chain of custody seals: <br /> Company SEC � _ <br /> rime 10 Date o Reed in good condition/cold: <br /> te Conforms to record: <br /> Relinquished by:Sign Client: SECOR <br /> Print Print ANT ' Client Contact: Jaff Auchterlonie <br /> Co Company Kiff Analvtica Client Phone: (916)861-0430 <br /> _____Date Time ®QtcO Date p Y ext.223 <br /> sECM CLWMC%c 2M <br /> Date:_ g/16f0 Page 1 of 1 <br />