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Task Order No C) JT% Chain Custody <br /> ARCA Facility,no City <br /> (Facrht S rPL.��n Protect er <br /> ARCO enginear ,L Consult A.,1, CG S Laborato a <br /> Telephone no Telephone no C <br /> CL it u ARCO 9 2 s 2. Fex no J tt 0 f qt <br /> Consultant name / Consultant 30 „1�— d P F Consultant (r)p ]�- 8�S <br /> r71 ct G Address Contrac number <br /> Consultant J%3 �r��r�t Rte( <br /> �.,<.v PV k 9s68z <br /> Matrix Preservation <br /> o e m ��+ w Method of shipment <br /> ❑ <br /> E �, -❑ <br /> 'a Iw h Si <br /> CL E c° m Soil Water Other Ice Acrd L" ti" is oEl <br /> rA itl `� <br /> E LU <br /> a F a w <br /> �� 4 Qt �,� M J cod <br /> ri , <br /> ca mw 1-0 Ov Fa�-W u4j <br /> �� <br /> JJh Q <br /> Special detection <br /> Limit reporting <br /> RS-1S6 1095 (Ze�to.a1 <br /> S-2 (1` a ld-17 Im <br /> S-1140 S Special QAIQC <br /> liSy <br />� m 1 Car s f139 <br /> Rs_ztst;, l�lo <br /> ------------ <br /> emarks <br /> MOA1�- C <br /> f15�3c6a 15b <br /> Lab number <br /> Turnaround lima <br /> Condition Flushon of sample 1 Huslness Day E)Temperature received <br /> Relinquished by sampler Data <br /> �7 Time Received by Rush <br /> � --f w--- �✓ /0-2e—q, l�/iJ 2 Business Days 11Relinquished b by Date Time Received by <br /> y r Expedited <br /> Relinquished by Date Time Recai taboret 5 Business Days 13 <br /> v DCX n Tr a Standard <br /> (� i0 Business Days pf <br /> )istnbuuon White copy— Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant 1' <br /> APC '1292(2 91) <br />