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ARCO Pro u mpany Chain of Custody Page of <br /> Work Authorization Na 2M1-002133 <br /> ARCO Facil No City,State(Fac""' Project Manager(Consultant) Protect No (Consultant) Laboratory Name <br /> 02133 STOCKTON, CA Steve Misner 5064-04 Sequoia Analytical <br /> ARCO Engin:,her ARCO Telephone No Telephone No (consutiant) Fax No (consultant) <br /> Supple,Paul (510)299-8891 916-444 0123 916 856 5277 <br /> Consultant C mpany Consultant Address <br /> Brown and Caldwell Method of Shipment <br /> 9616 Micron Avenue Suite 600 Sacramento Ca 95t327 <br /> Matrix P <br /> Special Detection <br /> LimdlReporting <br /> c <br /> F 4c Q! <br /> u � N <br /> L _ a o E <br /> m _ LD <br /> 0 ` QiI Q n1 $ W C <br /> o Q O } Z �Z o y <br /> Z m N o '? Q <br /> N E +n <br /> A p, C 1- b exi tW+ J a <br /> E 0 ; r <br /> io <br /> c <br /> �E o a a <br /> o E E u m <br /> CA coZ i° '° H a d <br /> v7 <br /> 13HD-1 3 X X X X10 <br /> E4 3 X X 1150 X X 10 Sub'd COC Attch d <br /> IE-4 3 X X X X 10 <br /> -9 3 XX A4 o�S X X 10 <br /> >r-10 3 X X 3 +q '1�1 �)u5 X X 10 <br /> U) <br /> Y <br /> EL' <br /> Q <br /> r <br /> TFF <br /> W <br /> [Y <br /> Sample Recellited Intact Yes No Temperature received Ice No ice <br /> Reliny Sign 8 Print Name) Date Time Received by(Sign 8.Print Name) <br /> Lro �--� y1*97 071�� Lab Work No <br /> Relinquish y Date Time Received by <br /> Relinquished by Date Time ecei b r tory to Time (1 <br /> RD U v Rev 11129195 <br />