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Aft <br /> ARCO Pr cts Company 14; 2 2 _ 5Chain Custody <br /> Divi of kltanticRichheldCompany Task Order No <br /> ARCO Facility no / ¢^ Flacdl! ( Project manager 1 Laboratory name , <br /> LX-�ll7i� Consultant (� G Sh:.vA-r t f� <br /> ARCO engineer Telephone no Telephone no Q Fax no / 15-2 <br /> r per, Ole, <br /> ARCO Consultant Fax"��-/� (Consultant `,"�`J 2'�C*�p a Contract number <br /> Consultant name Address <br /> (Consultant) r- <br /> Matnx Preservalton Method of shipment <br /> m 4 <br /> Ol �❑ L] tw'1 VJ O $'n`' <br /> 0 C LJ <br /> U E q❑ j cYl� t- <br /> tl+ O+ $ x -E0 a� <br /> Sod Water Other lee Acid c e asr 0 _ a �� <br /> c E E < aZ� m�v $ ` a� 0 $w <br /> Um rw M a a s `' a s a 4 a cJi <br /> m U1 m,$ mw r--0 Ov f-w w w w �� � <br /> �^ 11147 �f Special detection <br /> Ai*do }'� 1-14,13 lr 003 � /� � � pl, LrmtUre Hing <br /> t7 AL <br /> w �' 1-2&v 3 1!OL7 3o �_ ✓ <br /> ti t:1 <br /> Special 0A/0C <br /> u i <br /> 4 <br /> I <br /> Remarks <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> LL 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Relin by s Date Time Received by Rush <br /> 2 Business Days C)2z <br /> shed by Date Time Received by Expedited <br /> 5 Business Days ❑ <br /> Relinquished by Date Time ce ad b I r ry Dat Tlme Standard <br /> f � y'3 ��.Z I t0 Business Days <br /> Distribution White copy—Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant <br /> APPC 3292(2 91) <br />