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u <br /> ARCO Pr ' „ <br /> �cts Company,,AL, Custody <br />� I t7i . Atlantic-Richlie4d Company Task Order No. <br /> I <br /> ARCO Facility no. City w.a, Project manager ^' Laboratory name <br /> q too (Facility) $/6(-1 (Consultant} ���� ��wy� y <br /> ARCO engineer Telephone no. Telephone no. fi ( Fax no. <br /> ARCO {¢7 (Consultant) ~ s"' �✓a + Contract number <br /> (ARCO) (Consultant) U �{ a Consultant � <br /> Consultant name Address .• r f <br /> • @="k3. ( (Consuttant} 3 3 t ; g _3. , ,r ,x <br /> E>' 1-,tt.ie: a 1` <br /> j Matrix Preservation o s ^�M" Method of shipment s <br /> o Ln w <br /> I o o w0 L1 �� �L7 . w <br /> i D O cco <br /> eco v y. m� o o� o u5� � 2 y <br /> Soil Water Other Ice Acid a a 1215 — co <br /> a� m <br /> E c E xw � �❑ c� v m oa n u tuq OwC <br /> (� U cu t: co w c� w Q 2 m `�c•-i ¢ ¢ ¢ ¢ <br /> F-o Hd a.m as a a d UmJ mmv N',R ,+'b <br /> ,s rn '•� U) m W W W H(7 O N w w W <br /> 11 Special detection <br /> i. Limiureporting <br /> t 7. <br /> 1 t. <br /> Special QA()C <br /> g.H i r <br /> ... ti € tj <br /> jYu 't J w 'J r <br /> t+' � 9 � F4 4 ��rt � 3•�r'd { � '� <br /> y„� • r ' ' ! Remarks <br /> -# <br /> 4.1 <br /> ix <br /> Lab number <br /> g * f St-�•'�e� <br /> d j 1 <br /> Turnaround time <br /> %?t #} ' <br /> ff , Priority Rush <br /> ' 1 Business Day ❑ <br /> -Condition of.sam te: <br /> _ P Temperature received: Rush <br /> Relinquished by sampler Date Time Received by f 4 2 Business Days ❑ <br /> s•l:a { �`�i;l:, � s i 3 tl •,: ,,_. l �s �S t .'i t t t.t�.;; f'xrJ <br /> Relinquished by DExpedited <br /> Pate Time Received by 5 Business Days ❑ <br /> r_ _Relinquished by- Date._ Time- Received-by-- —- Date .._._ .. Time— - —_ <br /> . .Standard--- <br /> - � <br /> 10 Business Days <br /> Distribution:White copy—Laboratory; Canary copy—ARCO Environmental Engineering; Pink copy—Consultant <br /> APC-3292(2-91) <br />