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Dlwsi Auan[icFicM�eldCompany Task Order No. ` " —! 0 C) Chair Mustody, <br /> ARCO Facility no City ) <br /> S}D La f'1 Project er��i� Laboratory me <br /> (Facility} (Consultant <br /> TACO engineer p Telephone no Telephone no Fax no <br /> T G1 v ��J �'C <br /> (ARCO) $10 (Consultant) 11c Z{ 3 a O Consultant q �)`Z 9j 3 L} <br /> Consufiani name 0 14- <br /> t0 1 Address 1 Contra number <br /> 111 (Consultant I q 33 ti, �L��C�� 1 VL� Sac.. �A °f�� 3 <br /> Matrix Preservation p El Method of shrpmant <br /> a <br /> m m A <br /> � � m E <br /> CC5 <br /> L Sod Water Other Ice Acrd `- c a a c W m `,a N <br /> E m o E E �LU m-❑ c^ v '�� ❑ �❑ ow"I <br /> M � U Q ns Fa �a a m� za a a � � <br /> v) cn mFd mw 1cc ov �w w w rM c>� <br /> -�}-S�ls x x Special detection <br /> 7�10) g }Z,0 5 X Lim[tlreporting <br /> ?r'1 oriL"� <br /> -3-N�tS� yZ3S� X <br /> Special QA1QC <br /> '�'S�ls• � 124 <br /> ZSo <br /> uO <br /> 1-s��� I Z�� Remarks <br /> T d r U <br /> s[7) 3 zS T-s C-7') on . <br /> X � <br /> 5 a ix, -rfi-r. Ay <br /> a)4Ar~ Sa.,r.QLt,s <br /> on c-, <br /> `AT <br /> I CdP) Pb,I11 i, fin, t-6 <br /> Lab number;RInM8 a t6W) <br /> Turnaround time I <br /> Priority Rush <br /> Condition of sample Temperature received 1 Business Day 13 <br /> Relinquished by sampler Date Time Received by Rush <br /> -0 1.)off; on2 2 Business Days ❑ <br /> Relinquished by Date Time Received by Expedited <br /> 5 Business RDays <br /> Rehnqurshed by Date Time ec 6 r <br /> y laborato Date Time Standard ` <br /> 9 t] Q qas 10 Business Days <br /> Distribution White copy—Laboratory,Canary copy—ARCO Environmental Engineering,Pink copy—Consultant <br /> APPC 3292(2 91) <br />