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ARCO Pr is Company ;; Chaff Custody <br /> oi� 1MlenticRichfleldCornperry Task Order No. (o �, . OC ro <br /> ARCO Facility no CityPralect manager Laboratory name <br /> Facill —5 -aac Consultant (;1 4ut..7 l�f•iiV '- <br /> ARCO engi ee Telephone no Telephone no Fax no C/+S <br /> �C lfRl�T�E ARCO 444(Sj 1449 Consultant ��b y25•'33p0 Consultant x116 d 33� Contract number <br /> Consultant name Address ;+ <br /> Consultant lY7-)03 5-Cfe- ft-e TO 3 <br /> Matrix Preservation ❑ Method of shipment <br /> W <br /> c E yt^ D o ❑ 80 oGlTAIJ�. <br /> V 8O y $ 12 } wrn o ❑ <br /> S Soil Water Other Ice Acid n °—a sa` ❑ ❑ m $ ❑ tis❑ � 'e1^` <br /> JJ J lel! atf-LW <br /> � �W W W V � <br /> C7 O rPI <br /> I �1 _ Special detection <br /> u , VA- L �. �( Limrtheporting <br /> tf r T" )I(h) 12 U A- I` pmv <br /> special QA/OC <br /> Remarks <br /> Lab Rtumber <br /> � 064 <br /> Turnaround time <br /> Fri I I Priority Rush <br /> • <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received-'41eAt:Oro" <br /> Rush <br /> Relinquished by sampler Data Time e 2 Business Days <br /> !! r �5ov <br /> Relinquished by Date Time Received by Expedited <br /> 5 Business{days ❑ <br /> Relinquished by Date Time R by I ratory DateTime Standard <br /> 10 Business Days <br /> Distribution Whits copy--Laboratory Canary copy—ARCO Environmental Engineering,Pink ropy—Consultant 7 a <br /> APS 3292(2 91) Q <br />