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ARCO Pcts Company N; Cha' f Custody <br /> of Ati.mMtt>a+ti•iac�rri�.�y Task Order No. , • D O <br /> pLaboratoryname <br /> ARCO Facility no rr�� ! City !' Project manager �� l4 2f Facil Gl< 4� Consultant t J ARCO engin ar Telephone no Telephone no Fax noSTf = ARCO qF / S Consultant g616 300 Consuitant 9l6 L Ir- 33 V / number <br /> Consultant name Address 'c c� ►7t�w�C C a' <br /> su4 S$3 <br /> Conitant I Lia /v-MA-IZKc i /ji U11 k a ! <br /> Matrix Preservatlon N Method of shipment <br /> n <br /> C Z3 <br /> �, N �❑ G7— <br /> o � s �y �❑ <br /> a e° Soil Water Other Ice Acid a a ❑ `� ❑ © 9.� <br /> as <br /> N mW FC Oe HW W W W H <br /> Special detection <br /> U <br /> Limrtheporting <br /> �e I tr !! <br /> tmI BMs <br /> Special QAlQC <br /> Remarks <br /> ��d ZotNS-ilk W5 <br /> Teo L4-P- tics <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Relin yishad by sampler �aE� Time Received by 2 Business Days ❑ <br /> Relinquished by Date Time Received by 5 Busined <br /> 5 Business Days <br /> Rahnquishad by Date Timea ei ad by la ratory Date Time �� Standard <br /> {�k JAA— Q rl'�- 10 Business Days <br /> Distribution White copy—Laboratory,Canary copy—ARCO Environmental Engineering Pink copy-- nsultant } ll <br /> APC 3292(2 91) <br />