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ARG roducts Company Vr <br /> Cha t Custody <br /> � orr�sw�,c+�are�RucRicr,naiacemp�y Task Order No. <br /> ARCO no City Pro-loci manager laboretcry name <br /> 6 Facie Cansvganl <br /> ARCO englnesr Telephone no Tolephons no Fax no <br /> CO Consullan 6 6 (1Qd 0 Consullant) Cow&number <br /> <n Consultant name Addra�ss <br /> Consuttan r� .vN r �c{,� Cj�,s �,,, <br /> Matrix Preservationuuw��--��� _❑ Malhod of shlymeal <br /> IJ <br /> O = V CD I d � c and z ❑ 4 <br /> Oc 6ni1 t'lleter other Ice Aced v a © <br /> OL <br /> M .j '} 6- -W 3.1 of�� speGalp�detection <br /> Lirnitlre ril <br /> Mw I JZ� <br /> Azul, <br /> �. Ij Special QAJQC <br /> CbRemarks <br /> rl Q p <br /> U <br /> to <br /> ¢ <br /> r-r , <br /> C] <br /> 0 <br /> Lab number <br /> � I <br /> IL <br /> r' 7umeraund tsma <br /> Priority Rush <br /> 1 Business Day 0 <br /> m Condition of sample Temperature recebod <br /> Rush <br /> Roll uls ed p r Dela Time Received 2 Business Days ❑ <br /> r -IJ-00 fa o <br /> Relinquished Dale 'lime Recelve Expecilted <br /> 5 Business Days D <br /> Relinquished by Date Time Received by iahotatory Date 71me Standard <br /> 10 19usinesa Days ' <br /> Distribution Mite copy—Laboratory,Canary copy—ARCD EnvuonmWal Engineering,Pink copy—Consultant <br /> APC-3292(2 91) <br />