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ARCO 40 W.',ID# <br /> niaGeoTracker� � <br /> Work Authorization No. �M- 2 73&J_I�t7 � O�D 7 700 $ g � Chain O StOdy <br /> ARCO Facility No. City [[.�� Project Manager `'�y] Laboratory name <br /> 9 {FacilHy) J04 � (Consultant) �_6� ry <br /> ARCD EBM f Telephone no. Telephone no. / Fax no. y //��-- <br /> ` {ARCO} (Consultant)o' <br /> �� Consultant �7� tl <br /> } F! (Consultant) <br /> Company name �r /� �j Cont ct number <br /> ress <br /> {Consultant} ) (Consultant} -P 9A�/ rG– /� E-mailltant <br /> Matrix Preservation ' ❑ 8 Method of shipment <br /> opo u� ❑ M m v <br /> p m <br /> d) O❑ N c c m} <br /> _Q IJ <br /> V s c:� m m m w si o f3i7 O ❑ <br /> _m d r Soil Water Other Ice Acid S °O z c fn v o Q 5 <br /> Special detection <br /> Q. W C m fp {O ❑ p16 V <br /> Q % ❑ :r +m }v m a°.., j� LimEt/reporting <br /> V N fA mww <br /> )L <br /> SpeciaiGlAIGC <br /> Mv D8( � <br /> I Y_ <br /> a� bSyA <br /> D557 wj <br /> 5;� <br /> rypa or Work <br /> lll.�� OIL, ❑ Dispenser Work <br /> J Line Job <br /> Roullne Sampong <br /> ❑ Stte Acquisitions <br /> ❑ Site Assessment <br /> © UST Removal <br /> ❑ UST Replacement <br /> ❑ Other <br /> Lab number <br /> Turnaround time <br /> i <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Conditlon pie: Temperature received: �� Rush <br /> Relin i ed 6 pie R by 2 Business Days ❑ <br /> Faqz <br /> Tl C <br /> II <br /> ulshe <br /> Date Time Received by Expedited5 Business Days ❑ <br /> Relinquished by Date Time Recelved by laboratory DataTEme Standard <br /> 10 Business Days <br /> Distribution:While copy--Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Consultant <br /> APC-3292 f2-011 V% <br />