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vrrr vr+�l� a7ii ... r <br /> ? of All�alkRk�IfaldCogypNy ,r <br /> ARCO Facilily n cit Task Order No.C/� agar ChE f Custody <br /> 7 l <br /> ARCO engineer Facillt Consultant US ]'eR1 p� IC La a on name <br /> a U 1 Telephone no. Telephone no G Fax no. C p U© ( <br /> _ ( ARCO Consultant l d'� —( �Q d Consultant F16'l 36 �6 <br /> Consultant name n �� ������ Address q q/1 Contract number <br /> S���'` Consullanl r (l P` �C�f/ 'Ss aL� iI <br /> Matrix Preservation ❑ Method of shipment <br /> El i m <br /> Jo o old 4w <br /> ❑ SPK <br /> Soil water Other Ice Acid _ W <br /> N o� �W � � JIB aS5 <br /> w't S ✓ �f0(�q ` Special detection <br /> ( C1 L(mitlreporling <br /> wA ero Xao ✓ a, �, <br /> w-t ed s <br /> 3 <br /> C3o a <br /> Special QA/0C <br /> 3fS ✓ � <br /> w-1 LP30 v13357 V <br /> 4�Od ".f <br /> -pro aS10 ✓ R e�ox q4k), j <br /> kc 40E-.) orPAO T6A-1 <br /> OQys` v v PTAA <br /> qoo <br /> I 3!s" <br /> -?e 10 13 as e 6&q <br /> W-3a rS 13,30C Lab number <br /> I <br /> [3 35f V Turnaround time <br /> Aid-W <br /> LIAPriority Rush <br /> Condition of sample: 1 Business Day ❑ <br /> Temperature received: <br /> Reli ulahe y Be pier <br /> Data / Time Roc ad y Rush <br /> 2 Business Days ❑ <br /> R inqul hed ,A;Da <br /> Time Recel d by r U X11usEled <br /> / / 4 f'� 5 Buslness DaysRall u%had Time Re ed y I r PIT Date <br /> TlmeL Standard <br /> 1.�t7 Z /,6JQ 10 Business Drys <br /> Distribution:While copy---Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Cons nl <br /> APC-3292(2-91) ly <br />