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ARCO P. ` is Company <br /> i AllanecRkhaNdcomtr.ny Task Order No. '� 3 7 a0 Cha Custody <br /> ARCO Facllily no. City <br /> '��►93 Facility) s toe k- V*\ � CR Project manager /�}} n <br /> Consultant kqi [) kSK Laboratory name <br /> ARCO engineer � <br /> Psi Telephone no. Telephone no Fax na. Sa <br /> ARCO Consultant (9/L 36 V -fd�D 3 �b 3` _ �e t 0. <br /> Consultant name rr q Q p L !� Consultan �' Contract number <br /> A t to G. Address q I t}t, )AGS r �J� �! 1 f <br /> Consultant I r C h1 yi? s/r�C ! ��atra,►sa4�P <br /> Matrix Preservation ❑ Method of shipment <br /> O e q N <br /> a c <br /> Soil Willer Other Ice1 <br /> AcidE CL CIL <br /> c r � 4 �" ❑ <br /> rEF, 8 pI <br /> sPi. B }c <br /> Special detection <br /> Lkmillreporting <br /> Special QAIQC <br /> Remarks <br /> Lab number <br /> Turnaround Ilme <br /> Condition of sample; Prkxlty Rush <br /> 1 Business Day 11Temperature received: <br /> Relinquished by simpler Date Rush <br /> f Time Received by <br /> .2—,z =—� f�r;j 213uslness Days ❑ <br /> Relinquished by Date Time Received by <br /> Expedited 1 <br /> 1 <br /> Relinquished by Date <br /> Time Rece ved b Tabor Dela 6 Business Days <br /> Time Standard <br /> �rp 10 Business Days ❑ <br /> Distribution:While copy—Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Consultant <br /> APC-3292(2-91) <br /> i <br />