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ARCO FiMucts Company lqw CHa f Custody <br /> Division of AllonllcRIchfloldCompany Task Order No. <br /> ARCO Facility no City Project manager Laboratory name <br /> (Facility) Consultant <br /> ARCO engineer Telephone no Telephone no Fax no <br /> ARCO Consultant Consultant <br /> Contract number <br /> Consultant name Address <br /> Consultant <br /> ❑ Method of shipment <br /> Matrix Preservation ,, <br /> 0 . $0 <br /> ❑ <br /> 0 c rn of �' �� $v y $ i? ww ❑ <br /> m $ x <br /> m o Sod Water Other Ice Acid E ' 4 � ❑ Q g s❑ o� <br /> Q c n a <br /> E a oq <br /> CO ) m F- 0 4 d A W 4 w d d a U N u r <br /> � � U try Vi m� mw rr.7 by r-w w w w <br /> Special detection <br /> LlmlVreporting <br /> Special QA10C <br /> Remarks <br /> Lob number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Rehnqulshod by sampler Date Time Received by 2 Buslness Days 0 <br /> Rotinquishod by Date Time Received by Expedited <br /> 5 Business Days 0 <br /> Rolmquishod by Dale Time Received by laboratory Date Time Standard <br /> to Business Days ❑ <br /> D stributron White copy— Laboratory Canary copy—ARCO Environmental Engineering Pink copy--Consultant <br /> nPPC'1292 12 91) <br />