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ARCO IMucts Company l,'O; Ch of Custody <br /> ErMsion of AtlanticRlchRoldCompany Task Order No. <br /> ARCO Facility= Project manager Laboratory name <br /> Facilit Consultant <br /> ARCO engineer Telephone no. Telephone no. Fax no. <br /> ARCO ](Consultant) Consultant Contract number <br /> Consultant name Address <br /> Consullanl <br /> Matrix Preservation ❑ Method of shipment <br /> ❑ w 0 $© ED <br /> C 9 3 ❑ W S <br /> n c° a <br /> Soil Water Other Ice Acid a a a ❑ g0 $ } © ❑ 25 w v , <br /> Ea a �1� ti <br /> N U N N io l4u �iw uai 1.� u� ►_ c3 ��� <br /> Special detection <br /> Llmitlreporting <br /> Special QAIQC <br /> Remarks <br /> Lab number <br /> Turnaround lime <br /> Priority Rush <br /> I Business Day ❑ <br /> Condillon of sample: Temperature received: <br /> flush <br /> Rollnqufshod by sampler Date Time Received by 2 Business Days ❑ <br /> Relinquished by Dale Time Received by Expedited <br /> 5 Business Days ❑ <br /> Relinquished by Date Time Received by laboratory I Date Time Standard <br /> 10 Business Days ❑ <br /> i <br /> Distribution: White copy— Laboratory;Canary copy— ARCO Environmental Engineering;Pink copy—Consullanl <br /> APPC•3292 (2.91) <br />