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ARCO PSOucts Company ,; 3 3 Ch*f Custody <br /> of AttatHkRichli*KC i�psiry Task Order No. 01 <br /> ARCO Facility no City Protect manager laboratory name <br /> '3 3 (Facility) J fw(/07 Consultant h �E/,; <br /> gt C T na TeM ne no I ] rr r� Fax no t�c1 rr p� (j[ <br /> ARCO en neer A G1 �T y6� Conautam {���/ T T '���'� Consultant 9 T T(T� a �/3� Contract nurr" <br /> Cartwllari,name Address <br /> Consu77.;1-3 <br /> ltant / <br /> lulatrix Preservation 0 Method of shipment <br /> E /► r� <br /> �❑ W �-� /f <br /> m E ❑ U <br /> a-RN <br /> Q <br /> m cSoil Water Other Ice Acid <br /> CL a n a ❑ Y $ ❑ 4 <br /> Q 0 xaW<a <a ia LUE. <br /> rc1 t� c�a <br /> oeY <br /> Special detection <br /> TLi11 A7 '0 lo 30 / UmrVrepoAmg <br /> Special QAw <br /> Remarks <br /> i <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Days ❑ <br /> Condition of sampie Temperature received <br /> Rush <br /> Reiirtqu / pier Dat 1 S Received 2 Susmess Days ❑ <br /> f Zl I <br /> Expedited <br /> Re{inqu D� �� a Rggoived by ��_ / 2 7 5 ,3 5 Business GayaJ %k' <br /> ❑ <br /> /_ <br /> Relinquis by Dale Time Received by laboratory [Date Time Sts ndard Days <br /> Diairibution While copy—Laboratory,Canary copy—ARCO Environmental Engineering,Pink copy—Conaullanl <br /> APPC-3292(2 91) <br />