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ARCO Produc s Company ,01, ''')//� Chain of Custody <br /> Division of AllenticRichfieldCompany Task Order No :►0741—{1' 9 2 ` Z y <br /> ARCO Facility no Ctty / Project manager �• 1 Laboratory name <br /> 2D? <br /> (Facility) L 1} (Consultant) �C•- �d �{w i u n <br /> ARCO engineer r rr LL /! Telephone Telephone no per— ` Fax no (j(j <br /> g Ck Vr-k Cl.L/w'`G ARCO H 57 `2114? Co sultans) 9/ R 2.4&yd (Consultant) Contract number <br /> Consultant name Address )316"! G )X G F �a ��- �'H 15,47 G G I+�t . �� pM'^[I c7 + � .+ 0 <br /> Matrix Preservation E Method of shipment <br /> ❑ "' A Qs §0 <br /> o m E $— �" 5i ❑ 4� <br /> OQ d� r4 <br /> po 0 '� ^ N N S N Q ❑ <br /> CL CSod Wafer Other Ica Acid a a a z� g ❑ i❑ pub <br /> a o m m xULI <br /> el. Lum x , <br /> U .J U to (JJ m$ mw �A Ov �W w w Lu <br /> Special detection <br /> x J0 ,84t Limiflreporting _ <br /> r s' <br /> •�`•� tag C, X T ww <br /> '/ • 10 ! "D"`jZ 416 Special QA/OC <br /> • B / X 1a -yz L , <br /> Remarks <br /> s•3�Dy 1 � o-g-yz <br /> '•312 � lo�i�i `/ �� <br /> q 71 <br /> ----, --_71-- l-ab number <br /> •�b'�3 T� � v-�a� � 3 <br /> / ! ` L Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Flelinguishap d by sampler Date Time 2 Business Days <br /> 000, <br /> /D-117-g Z 101l:2 Rece ed <br /> Rquls Date Time Received by Expedited <br /> 7 S Business Days 0 <br /> R i b Is Time R Ived-by Abw tory Date Time Standard <br /> r 2 ��l �s/&� Q 16-QZ lz_'�s 1D Business Days 'p`d1 <br /> Distribution While copy—Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant <br /> 4PPC-3292(2 91) <br />