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mrivw riuviurns %,umpany ii <br /> Djft of AdMt'�hr*klCo"m'm Task Order No. 2.� Chaff Custody.. <br /> ARCO Facility City Proj Heger ams <br /> Faaili Conaultanl !F�ax <br /> �ARCO engineer etephone no. Telephone no. no.ARCO �--- Consu)tanl 0onsultant .9 Contract number <br /> Consultant name Addreae ,p <br /> Consultant � s ,f <br /> Cff/ <br /> Matrix Preservation r ❑ Method of shipment Z <br /> Q <br /> g D p <br /> g Soil Water Other Ice Acidc a g co q; t► <br /> mI mWaW W W ♦' y <br /> Special detection <br /> Z x T Qa _ ^1r Urnit/reporting <br /> a <br /> 0 X Special GAM <br /> Remarks <br /> i <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> Condition of sample: Temp to receive 1 Business Day ❑ <br /> Relinquish by sam Date TimeRe Ived y Rush <br /> 2 Business Days ❑ <br /> [ yzqM <br /> Rell uished Date Time. r Expedited <br /> L fa� r.1G 5 Business Days ❑ <br /> Re11 "i ` <br /> by Dat Time Rece ed b i <br /> ab <br /> Y oratory Qate Time Standard <br /> 14 Business Days <br /> Distribution:White copy—Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Consultant <br /> APC-3292(2-91) <br />