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1. <br /> ARCO Pro&,.;ts Company ? -� Chain or E us&dy <br /> Owision of Alan icRichtleidComv <br /> pany �3 a S 1-- Task Order No. U <br /> ARCO Facilily no. City Project manager Laboratory name �. <br /> za -� I(Facility) Uc-, (Consultant) lGicz., ,A; <br /> ARCO engineer ' (` telephone no. Telephone no. <br /> (ARCO) (Consultant 2111Consultant l la & 15s <br /> Contract number <br /> Consultant name. Address / C. <br /> (Consultant) • t 'ZC ( 1 l /J � <br /> Matrix Preservalion <br /> El < Method of shipment <br /> 0 C U [Qi ZD 9 $ $a 2 I? 4 n x ❑ .0 <br /> n c° Soil Water Other Ice Acid •E n a- 2❑ �{t $ © o <br /> ca 0 <br /> i rn u m� mw Y "`�' <br /> co acs Ov �w w w w <br /> Special detection <br /> J ] ` Limit/reporting <br /> /1 L jt t 1� ltwS� "� f 1 <br /> am-� l ' 10 <br /> -6 0Spacial QAlQC <br /> a,i-,2 t2 M <br /> rrx,,.i i 2•• L �- � <br /> T- <br /> Remarks <br /> Lab number <br /> ` Turnaround time <br /> Priority Rush <br /> I Business Day Cl <br /> Condition of sample; Temperature received: <br /> Rush <br /> Relinquished by sampl Date Time Received by <br /> J 2 Business Days ❑ <br /> Relinqut d by n Dale Time Received by Expedited <br /> 5 Business Days ❑ <br /> RelinquishedAy P V DaIV Time Roc �b ora Date I Time Standard <br /> 14 Business Days C <br /> Distribution: While copy—Laboratory;Canary copy—ARCO Environmental Engineering; Pink copy—Consultant <br /> APPC-3292(2.91) <br />