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r <br /> ARCO Produ s Company ;; l _ z_ Chain of ustody <br /> Division of AtlanticRichficklCompany Task Order No <br /> ARCO Facility no City Project manag Laboratory name <br /> c, C' L d r {Consultant) 1, <br /> ARCO engineer Telephone no Telephone no Fax no r �j <br /> C h t lC(� C�+ /np ` (ARCO) / )� j�� Ll( {Consultant) 0 " S Z (C(pi 0 {Consultant) � "-{p{p e�� <br /> Contract number <br /> Consulfanf name _ A5 _ Address r r / 1 <br /> C�S 11A 1U17r{37(21 f; (Consultant) �iL X70 \ tt�'I ��r`/e fit' �Q{) C L [ d fC, <br /> ❑ § Method of shipment <br /> Matrix Preservation �, ❑ w i o a❑ <br /> GY m m oo yU ❑ <br /> � o � © <br /> CL LD <br /> Sod Water Other Ice Acid e a a55? E2 c2 <br /> �❑ ❑ ❑ o w <br /> E a c E E wFQ wa x �� xc a a < <br /> ro m o m ro r Fo a 6 do_ o_ o a vw a mina <br /> rp U rn to m� mw i-0 Ov rw w w w �� c� ��r <br /> Special detection <br /> ll I)�7. v L+mitlreporting <br /> -�L I ve% - <br /> Special OA/QC <br /> Remarks <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature roc <br /> Rush <br /> ReNn � y sampler Date Time Recey+id <br />� /� 2 Business Days El <br /> ? 31-4( Z Do <br /> Reim h Date Time d bExpedited <br /> 5 Business Days ❑ <br /> Relinquished by Date Time Received by laboratory Date Time Standard <br /> 10 Business Days <br /> Distribution White copy—Laboratory Canary copy—ARCO Environmental Engineering Pink copy—Consultant <br /> APPC 3292(2 91) <br /> r +, <br />