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ARCO Prodompany <br /> Work Authorization 19349-00 Chain of Custody Pag of <br /> ARCO Facility No Cd Slate(Facility) Y— ' <br /> y t y) Project Manager(Consultant) Project No (Consultant) Laboratory Name <br /> 02133 STOCKTON, CA Rusty Benkosky 930-036 2t <br /> ARCO Engineer ARCO Telephone No Sequoia <br /> p Telephone No {Consultant} Fax No (Consultant) <br /> Paul Supple 91$(714)670-5303 (916)858-2350 <br /> Consultant Company --(916)858-2355 <br /> Consultant Address <br /> Pacific Environmental 11315 Sunrise Gold Cir,Ste M Rancho Cordova CA 95742 Method of Shipment <br /> Matrix PCSV Laboratory Courier <br /> Speclal Detectlon <br /> UmIuReporting <br /> in a <br /> E <br /> L <br /> a °' y (U o U <br /> Q N Y Cl o H <br /> Z G d v Q <br /> w ro �a E; <br /> +z <br /> 00 n <br /> �' E U rn c" !a S �. <br /> +a. Oa <br /> E a <br /> o E E <br /> IU <br /> U U <br /> 3 Z U) ` 4 <br /> E-2 4 X I X 12-4-96 11 15 X 1 10 Special QAIQC <br /> E'e 4 X X 12-4-96 1101 X <br /> 10 <br /> E-9 4 X X 12-4-96 1253 X Sub d COC Attch-d <br /> 10 <br /> E-10 4 X X 12-4-96 1308 X <br /> E-11 4 X X 12-4-96 10 <br /> 1152 X <br /> E-12 4 X X 12-4-96 1010 X 10 <br /> 10 <br /> MW-4 4 X X 12-4-96 1036 X <br /> 10 <br /> MW-5 4 X X 12-4-96 1141 X <br /> - 10 <br /> BHD ! 4 X X 124-96 1230 X <br /> X <br /> TBA 2 X X 12-4-96 NIA X 10 <br /> 10 <br /> Q <br /> Sample Received Intact Yes No Temperature received Ice No ice <br /> Relinq/!} rrjpler(Sig g pri Name) Date Time "ecei by rgn E�Print Name} <br /> ti( /1 daNh—TTime <br /> (p Lab Work No <br /> Re qui hR eived by/Ls` �'Cp 17UU <br /> Reli wished by Dae Time Rived by labprat T,,, T11v?;k5196 <br /> `�/��\Time <br /> ]/ 1 5?— t�r�one <br />