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ARCO Pr -cts Company„ ) Chainustod <br /> piv ,Atlantic-Pichfield Company Task Order No. y, <br /> ARCO Facility no. .t City Project manager--` <br /> ;.t � n, r7 Laboratory name <br /> (FacilitY) ��� fConsultant ra'2�4�� -r • <br /> ARCO engineer ' +, Telephone no. Telephone no.�ri f Fax no. p `arj+'tt;'• <br /> ++ "� ARCO Consultant a a ' F. a <br /> �. <br /> (ARCO) ( ) ' u <br /> Consultant name Address ¢ � (Consultant) <br /> a _ S Contract number <br /> 4 a nsult nt <br /> (Co a ) <br /> Matrix Preservation Method of shipment <br /> o n w o t f <br /> O ca co So <br /> m o _m m 0 0 o to ❑ <br /> i al O ` m 7 O N N Q W a <br /> - N - .a.:_ C-. - 4.0 `o C7- - - - ` `� aoQ <br /> CL ro Soil Water Other Ice Acid a -o© °v a N o <br /> E X o m E txw ¢ _❑ m x¢ a ¢ 11 m �� Ivo <br /> (n � U rA co mm mw W0 0, �w c°u w w Jg K w�n " <br /> Special detection <br /> i .., e.yt ,t. Limit/reporting <br /> � 4 <br /> .r si ) Special QA/QC <br /> 6 <br /> K. <br /> Remarks <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample: Temperature received: Rush <br /> Relinquished by sampleDate t� Time Received by 2 Business Days ❑ <br /> Expedited <br /> Relinquished by ,4. Date Time Received by y j F,,) 5 Business Days ❑ <br /> t'+r?•'' - I :F t.-1 y SG s r ;�- r r ; r � , ti <br /> // 7 <br /> r v d t tt_i..iyF - irL...•t i' Ft ,t ,.1 <br /> F - Time Standard <br /> Date -. Time Received.b t .Date - — --- -,,-;. <br /> _rRelinquished by __ ,_.._ ,. _ .,. Y � 10 Business Das <br /> Distribution:White copy—Laboratory; Canary copy—ARCO Environmental Engineering; Pink copy—Consultant <br /> ;, APC-3292(2-91) <br />