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- <br /> "`'"' Chain of Custody Page Of <br /> Work Authorization No. 21'.3-3r!.093 1 Q97 .. e ,.., <br /> ARCO Facility No. City,State(Facility) Project Manager(Consultant) Project No.(Consultant) Laboratory Name <br /> 02093 TRACY, CA Steve Misner 5064-04 Sequoia Analytical ' <br /> ARCO Engineer ARCO Telephone No. Telephone No.(Consultant) Fax No.(Consultant) <br /> I Supple,Paul (510)299-8891 916-444-0123 916-856-5277 <br /> Consultant Company Consultant Address Method of Shipment <br /> Brown and Caldwell 9616 Micron Avenue,Suite 600,Sacramento,Ca 95827 <br /> Matrix Prsv. Laboratory Courier <br /> Special Detection. <br /> Llmil/Reporting <br /> d <br /> a <br /> E m <br /> yQ -.�_ d Z m O V q, 7 y <br /> Z C 6 } y o u a ti a C <br /> T E X o <br /> Q Q C H o .� H Q 5 <br /> E U m w <br /> E to, 31 <br /> V) J Z <br /> rn <br /> ATR-9 3 X I X 1 3114!97 X X 10 Special QA/QC <br /> ATR-12 3 X X 3114197 �d X X 5 8 10 Sub'd COC AttcNd: <br /> ATR-11 3 X X 3!14197 �a X X n 1 � 10 <br /> ATRA 3 X X 3114197 1 Llgo X X n 5 •� 10 <br /> ATR-7 3 X X 3!14197 X X 10 ` <br /> ATR-2 3 X X 3114197 X X Q 5 ,`� 10 } <br /> i, ATR-5 3 X X 3114197 X X 5 3 10 <br /> ATR-4 3 X X 3114197 �, 7jC� X X 14 <br />{ <br /> ATR-3 3 X X %3114197 �' L � X X j" 5 10 Q <br /> SN[W-1 3 X X 3114197 c� X X n - 10 <br /> ATR-8 3 X X 3114197 f 5 X X () 10 w %^ - <br /> cc� <br /> h <br /> 1 <br /> Sample Received Intact: Yes No Temperature received: Ice No ice <br /> Relinq,by sampler(Sign&P'nt Name) Date Time R cetved ign& rint Name) <br /> 3 Lab Work No. <br /> I; t 3�i� ql <br /> R a k k it :!S" <br /> Date Time Re ve y <br /> Rei b Date Time Receiv Da Time <br /> Rev.11129195 :J. <br />