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I II <br /> ARCO Products CompanyWork AuthorizIaltion No. 2730100 Chain of Custody Page 2 of 2 <br /> ARCO Facflrty No City,State(Facility) [ Project Manager(Consultant) Project No (Consultant) Laboratory Name <br /> 02133 STOCKTON,CAI II Rusty Benkos 077 43235 050 Sequoia <br /> ARCO Engineer ARCO Telephone No lI Telephone No (Consultant) Fax No (Consultant) Global ID <br /> Paul Supple-RAT 9 510 299 8891 II 916 861 0400 916 861 0430 T0607700002 <br /> Consultant Company Consultant Address { Method of Shipment <br /> SECOR-SIRC �� II 3017 Kilgore Rd,Ste 100,Rancho Cordova,CA 95670 <br /> Matrix Prsv <br /> Special Detection <br /> L1mrt(Reportrng <br /> IT <br /> m o E <br /> ro a v <br /> O Q <br /> N m a L }m z v a m y <br /> Z c m m Y P <br /> so E c ¢ m <br /> 0 m 0 m jCL <br /> c <br /> U C c , a ~ <br /> E o E E is <br /> cn z cn cCdn <br /> MW-2 ii, INACT Special QA/QC <br /> MWS " INACT <br /> MW-4 X X G (1a3S X X 10 Sub'd COC Attch'd <br /> MW-5 X X 11 1111 X X 110 <br /> TS-1 X X X X 10 <br /> '1 II <br /> 11 III <br /> i1 III <br /> 11 III Y <br /> II III CC <br /> II Ili Q <br /> 11 III � <br /> ll III w <br /> II If I Cr <br /> 11 Hll <br /> 11 III � <br /> Sample Received intact: Yes No Temperaturel`recerved Ice No ice <br /> R1nq b &Print Name} tel T'!�/,a ime 11e�' �g� Print Name) i b l `!1�p Lab Work No <br /> Relinquished by Date Time I I R i etved by <br /> t <br /> Relinquished by Date Time ff Received by laboratory Date Time <br /> Rev 11/29/95 <br /> � � II <br />