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ARCO Pr is Company , z d -� Chain o Cusi`odV <br /> t)ivisio tlarsiic Richfield Company Task Order Na '�. � • <br /> ARCO Facility no Cityj 'r� Protect manager Laboratory name <br /> 14lie (Facility) ���� ,.. .,�w� (Consultant) � e _ <br /> ARCO engineer ^ Telephone no Telephone no,, Fax no <br /> 1`$ <br /> Consultant name (ARCO) (Consultant) 0)' " (Consultant) &' r <br /> _ ��� Contract number <br /> ' <br /> i <br /> i Z of I(Consu tant) r° �3'?r r rs � f a' Y, <br /> Matrix Preservation g Method of shipment <br /> N@ o❑ ❑ o �� ❑ <br /> O N E co N CU N Un 0 S O m <br /> 'Z'5 <br /> N N (n V cu V Z ❑ 'S <br /> C' ca <br /> m 2c� ❑ �� r m m O �� <br /> CL °c Soil Water Other Ice Acid a a a as�z � a❑ °R o N N ❑ o w e <br /> E c E E w wot 2� ��, 2a a ¢ ¢ �� ° �❑ m mc��+e k s <br /> rA J U (n () m10 mw a(7 Oa Hw w w w <br /> Special detection <br /> t.imittreportmg <br /> "¢ ' Special QA/QC <br /> S�N ' <br /> Remarks <br /> f . <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> I Business Day ❑ <br /> Condition of sample, �` Temperature received <br /> Rush <br /> Relinquished bysampler/` t Date Time Received by w y 4 <br /> ! 2 Business Days ❑ <br /> P" to f f )t' � i 6� <br /> J' t. _ � � � _�r`4. Expedited <br /> Retinquished Uy 7 Date Time Received by �� 5 Business Days ❑ <br /> 1 <br /> Relinquished by Date Time Received by Date Time 110 tandaBusiness Days , s <br /> Distrlbutfon White copy—Laboratory, Canary copy—ARCO Environmental Engineering, Pink copy—Consultant <br /> APC-3292(2-91) <br />