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AKGU Products Company <br /> pivislon of AtlantkRktttleldComparryr Task Order No. Chain of Custody <br /> ARCO Facility no.Z O 6 City Project manager <br /> (Facility) E'PG/r /7 f E aboratory name <br /> _ {Consultant <br /> ARCO engineer hv 1 Telephone no. Telephone no. Fax no C'igi0, <br /> t 1 <br /> Consultant name ARCO_ Consultant S o 6�r—srj 8� Consultant �s�o��T�—� S Contr ct number <br /> Address <br /> �j7nGi �le, Consultant 3 ,3 <br /> Matrix Preservation ❑ `$ Method of shipment <br /> m m ,S3 cL <br /> ° n _ L,( o� <br /> cCD <br /> .� Y �N ❑ r <br /> CL m Soil Wafer Other Ice Acid a n $ a � c$❑ ❑ a�.T �� <br /> g Lu AZ <br /> v� U a in LU <br /> m � �J Q 0 k <br /> w r ~ � �a� Special detection <br /> �b 1 Limittreporting <br /> 3-s 71) o <br /> � � S <br /> T2-s 79 1/10 speclalQAIQC <br /> -� 7) <br /> }� =S /7') 11130 -a <br /> Remarks <br /> T-T- <br /> TPN Cr 51-4L <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> Condition o1 sample: Temperature received: 1 Business Day <br /> Reli '1' ad by sem r Date Time rt.c <br /> ed by Rush <br /> 2 Business Days ❑ <br /> Relinquisha Dat ! I (r c dime eived by Expedited <br /> Tl� o {p l"7 got f 4� T } 5 Business Days ❑ <br /> Refinqurshed by ADate Time Rec ' ed by, ,boo tory Date / Time Standard <br /> v ' G/� A /1 , / 1D Business.Days ❑• <br /> Distribution:White copy—Laboratory;Canary copy—ARCO Environmentat Engineering;Pink copy—Conaultant <br /> APC-3242(2-81) <br />