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ARCO Produ!W pony Work Authorization Chain of Custody Page 2 of 2 <br /> No. 0 <br /> ARCO Facility No, Ity,Stale Noilily) Pro Manager(ommllent) Prof ect No (Consultant) Laboratory Name <br /> 02133 STOCKTON CA Rus Benkos 077 43236-050 sequoia <br /> N,RCO Engineer ARCO Telephone No Telephone No (Consaltanq Foix No (Consultant) Global ID <br /> \ Paul Supple-RAT 8 614 289 8881 916 861 0400 816 881 0430 T06d7700002 <br /> r;i cnsultard Company Cortsultard Address Method of Shipment <br /> SECOR SIRC 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Matrix Prsv. <br /> Special Detectlan <br /> Um1VRepDrtrng <br /> ac m <br /> OY F T <br /> z <br /> 2D C W C <br /> Cx c a a <br /> o M <br /> MW-2INACT Special QA(QC <br /> MW-3 INACT <br /> MW-4 X X ej X X 10 Sub'd COG ALUM <br /> MW-5 x x I?oq X I x I I I 1 0 10 <br /> TO-1 x x x x —IV 1 10 <br /> u: <br /> 0= <br /> Q <br /> 0 <br /> W W <br /> rn <br /> Cr <br /> Ln <br />� m <br /> .,Sample Recerwed Intal yes No Temperature reaeivedri r�j Ice No Ice <br /> �Ra11nq by mer{Stn 8 Print Name) I Date Time ReYn Sign P irktt'N�ame) b �p Lab Work No <br /> dtrQA <br /> ,h Rellnqulshed by Date Time Recslved by <br /> Fieimqutshed by Date Time Received by laboratory Date Tlrne <br /> Rew 11129195 <br />