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ARCO Pros Company dk <br /> niyisio otic-Richlield company IF <br /> Task Order No. Chain Mus.tody <br /> ARCO Facilit no. <br /> y <br /> (Facility) M Pro(Consultant}ject manager <br /> *�C:�"fid,,(.w € Laboratory name <br /> (Fa { Zq 1p r . <br /> ARCO engineer Telephone no. Telephone no. .. Fax no. <br /> Consultant name, (ARCO) (Consultant) .53, ` (Consultant} /�* f '� ' C tact numb <br /> ! T Address <br /> (Consultant) .` Fair_ <br /> Matrix Preservation IU Method of shipment <br /> de-^^' Q f� ❑ co �� ❑ <br /> C 0 C N m toN �) Nr� [� <br /> 01 a1 P m d_N ( o On ((]a }}_- ❑ <br /> Q C S C CO S <br /> E Soil Water Other Ice Acid Q n i a ❑ °° o N N o <br /> Edd 0 H9 L'. dO A� =Q Q Q Q J[ALL �� CO NN <br /> (A CA mm mug HC7 Ov Fw w w w I�— � <br /> Special detection <br /> Limit/reporting <br /> C*v C74 <br /> Special CA/0C <br /> i <br /> I <br /> Remarks <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sam le: F <br /> ,,_l pfi Temperature received: <br /> ReliraquisheZ1,0y`sampler Date Rush <br /> Time Received by 2 business Days ❑ <br /> Relinquished byDate Time Received by 5x8usiness Days ❑ <br /> Relinquished by Date Time Received byStandard . <br /> Date Time 10 Business Days <br /> `.___�^.:"l=.`=^;�~ ,.y;.err rr. t';..'i! � .,. ;y:�.�✓- �'�. d;.. f <br /> Distribution:White copy—Laboratory; Canary copy —ARCO Environmental Engineering; Pink copy=Consultant JJ I <br /> APC-3292(2-91) <br />