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ARCO Produlft Company<; Chan of004DMaion Ftichfield Company Task Order No. <br /> ARCO Facility no. f� City ^��� -. Project manager r / --. Laboratory name <br /> G./ (Facility) / /^c:r^ _ �=�' (Consultant) <br /> ARCO engineer Telephone no Telephone no Fax nom, <br /> �o (ARCO) (Consultant) (Consultant) Contract number <br /> (Consultant}y <br /> Consultant name �'"� Address 1 r ' <br /> ^ ° ♦ nib i �r" 7 <br /> Matrix Preservation <br /> .e Method of shipment <br /> m m §❑ ❑N E� ❑ <br /> cn o � P, n { <br /> m co <br /> Soil Water Other Ice Acid a a N� <br /> t '0 <br /> E o ff coq ca fL d� as a a¢ U� dee ( r <br /> Ul U /Y W a�W F-C7 ria F-w w W w F-M �(La �CD Jar \ <br /> Special detection <br /> Limit/reporting z <br /> Special QA/QC <br /> Remarks <br /> I <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Cond ion of sample Temperature,received Rush <br /> Relin ws sampler Date Time Received by 2 Business Days ❑ <br /> `7 ,�•1 <br /> �3 Expedited <br /> Relinquish Date Time Received b� 5 Business Days ❑ <br /> Standard <br /> Relinquished by Date Tlme Rete d / �' Date Time 10 Business Days <br /> %- <br /> Distribution White copy—Laboratory, Canary copy—ARCO Environmental Engineering, Pink coFy—Consultant <br />