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ARCO Produc mpany Chain of Custody Page_of • <br /> Work Authorization No 213 5450 —' <br /> ARCO Facility No City,Stale(Facility) Project Manager(Consultant) Project No (Consultant) Laboratory Name <br /> 05450 STOCKTON CA Steve Misner 5064-04 Sequoia Analytical <br /> ARCO Engineer ARCO Telephone No Telephone No (Consultant) Fax No (Consultant) <br /> 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 P <br /> Special Detection <br /> LlmitlReporting <br /> u <br /> i 41 <br /> 10 T <br /> w N <br /> o a N Q a Z n' a <br /> Z iC a d . c <br /> m io E v a AE y <br /> _d a C ❑ 1- o �+ J E a I <br /> Qi E U c+ y �, Z <br /> E (n U E x <br /> a r <br /> u <br /> J Z t9 N w w <br /> MW-1 3X X f 1)5/iq X X 1 110 Special QA/QC <br /> Sub'd COC Atich'd <br /> rn <br /> Y <br /> AX <br /> Q <br /> w <br /> Sample Received Intact Yes No Temperature received Ice No Ice <br /> Relinq s n or i Print Named bale Time Received by(Sign i,Print Name) <br /> I0A1/L fZo/!f r/ a 7 Yb Lab Work No <br /> Relinquished by Dale Time Received by <br /> Relinquished by Dale Time ec i d ratory Date Ti <br /> l W ]Rdv 11129/95 <br />