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F.0 <br /> s'on ofAStanucHvchheldUmpany Task Order No. G� ��� C-CJ Chain O -Custody, <br /> City Project r <br /> (Facility) <br /> ` , Telephone no. SConsulte —V l LabOrato 'a r <br /> ARCO �� c Telephone no. Fax no, [�C� <br /> / Consultant Consultant / <br /> Address Contract number <br /> Consultant <br /> Matrix Preservation ❑ Method of shipment <br /> ❑ a <br /> rn V $. z mSoil Water Other Ice Acid ca r3 m (1p e �a n © w .n O xw �❑ c� v �^ i� '� ❑ � Ow <br /> �"'� moo` a A x< w <br /> Ov CL EL Uj a w �M <br /> f�� Special detection <br /> h r O L Li7miUreportin <br /> _� <br /> lb w <br /> ��, 13�Y <br /> Amw <br /> Special QAIQC <br /> - fL3 <br /> Remarks <br /> �.� ,Tcra•��ir� <br /> r%'ouh <br /> Lab number <br /> Turnaround time <br /> Phorily Rush <br /> Condition sample: 1 Business Day ❑ <br /> Temperature received: <br /> Relinq she s 77pier Data �y Time Received by Rush <br /> ZI b L 2 Business Days ❑ <br /> Relinquishe y Date Time Received by Expedited <br /> 5 Business Days ❑ <br /> Relinquished by Date Time Roc i ed by labo tory Date <br /> Timer 1 Standard i <br /> 1✓ i �I �� L'f z1"% ,0 BltSiness Days 1 <br /> Distribution: White copy—Laboratory; Canary copy—ARCO Environmental Engineering; Pink copy—Consultant <br /> APC-3292 12-91) <br />