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ARCO P cts Company4� <br /> 01 M"Irx,IleldComperr/ Task Order No ChainjeCustody <br /> ARCO FpCi no City Proled manager Laboratory nems <br /> ao 3 {Fadilly) (Consultanl) ! <br /> i <br /> ARCOInglnear Telephone no Telephone no Fax no. <br /> ru Dc!/ r (ARCO) (Consultant) If -GWOC� (CansutleM} <br /> Con ltan name Address Ccnlraa umber <br /> (Conswull I)L3017 k,14Qkf- Q <br /> Matrix Preservahon r Melhod of shipment <br /> m � ❑ n o ❑ i► <br /> N <br /> mc c °c° Ela <br /> Sol] Water Other Ice Acid 3 a hg �p : o r <br /> cE� 3 <br /> cA U v) 00mw 0:3 as IF w w w r3 <br /> Speclal detection <br /> I lJmlUreporbng <br /> I <br /> lR-I- � <br /> Q-7 Speaal CIAMIC <br /> 'ZZ <br /> Remarks <br /> V <br /> Q <br /> US <br /> Q <br /> O <br /> Lab nunaer <br /> Ur <br /> � I <br /> CL Turnaround Hine <br /> � I <br /> 01 Priority Flush <br /> 0 1 Suwissi$Day ❑ <br /> �4 Condthon al sampte Temperature reeelved Rush <br /> Relinquished by abrupter Dale Tlme F1 by 2 Business Days ❑ <br /> tv/r EKpedtted <br /> elrnquished by Date e Received by S Business Days Cl¢ Trine <br /> 1 <br /> Relinquished byDale Time Received by Date Time Standard <br /> 10 Business Days <br /> Distribution White copy—Laboratory, Canary copy—ARCO Eavlronmentel Engineeirng, Pink copy—Consultant <br /> APC-3292(2.91) <br />