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ARCO Products� mpany v Chain of Custody Page 1 <br /> Work Authorization No 27 0 r <br /> ARCO Facility No1W ity,State(Facility) Pro Manager(Consultant) Project No (Consultant) laboratory Stam <br /> 04932 STOCKTON,CA Rusty_Benkosky 077 43285 050 Sequoia <br /> ARCO Engineer ARCO Telephone No Telephone No (Consultant) Fax No (Consultant) Global ID <br /> Su le, Paul 510 299 8891 916 861 0400 916 8810430 T0607700237 <br /> Consultant Company Consultant Address Method of Shipment <br /> SECOR-SIRC 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Matrix Pr <br /> Special Detection <br /> Limit/Repoiting <br /> h W <br /> w Oca 01 2 La^ <br /> p = (n Q 0 >- Z CV N Q N <br /> 01 <br /> Z d � <br /> �n is E w d o E <br /> _Q a c mo S .� E a <br /> E _U c �' d u <br /> oa z <br /> W <br /> rA On <br /> Cn .Jim <br /> co Ca Z co L ° e <br /> MW-1 X 1421101 /(0/5 X X 10 Special QA1QC <br /> MW-2 X 1D ZZ ql 1540 X X 10 <br /> MW-3 X )SD5 X X 10 Sub'd COC Aitch Id <br /> MW-4iiaDu <br /> ISG L � <br /> i] <br /> MW-5 X 1 (012401 r5qo X X 10 <br /> MW-6 X 417101 0! 2-0 X X 10 <br /> 1� <br /> MW-7 X Ib nZof fZ30 X X 10 <br /> MW-8X D 1401 f305 X X 10 <br /> MW-9 X t7 2 0( X15 X X 10 <br /> SVE-1 LAyr 10 ¢ �Z 1y <br />' T8-1 X X 10 ¢ <br /> LU <br /> � � I <br /> I � <br /> I <br /> Sample Received Intact Yes No Temperature received Ice No Ice <br /> Relinq by sampler(Sign&Print Name) Date Time Received by(Sign&Print Name) <br /> �t,l�y R wr��eQvE� <br /> o ►d 6 I(}� , U Lab Work No <br /> Relinquish d by Date Time Received by <br /> Relinquished by Date Time Received by laboratory Date Time <br /> Rev 11!29195 <br />