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ARCO Pris Company ChalroCustod <br /> pw AtlantiaRiuhfieidCaulpany Task Order No. W0119 + • 6 o y <br /> ARCO Facility no 1 City Project manager Laboratory name <br /> (Facility) (Consultant) <br /> j OWT}�.q �YIr�TT Tr�c� <br /> ARCO engin r Telepho a no Telephone n Fax no S <br /> t C+�tsTi� ARCO us y53-� 8 Consultant j3 ¢-33 C1[J Consultant !L y ZJ-'33 Lr r <br /> Contract number <br /> Consultant na Address <br /> Consultant Ux{3 oJ r" 1^-drr A%Vd Clanterrrl ys- f/ <br /> Matrix Preservatlon ©1 Method of shipment <br /> �+ w E <br /> �'© El wresp- <br /> n <br /> m s N o <br /> i i o m C1 <br /> CL c Sod Water Other Ice Acid n a a �❑ �❑ $ 1 © �❑ o W <br /> E c E Et s 5IT <br /> a < K t <br /> SSion <br /> LimitIrsportin <br /> Special QAIOC <br /> Remarks <br /> 7.�bos-rty -mss <br /> t� <br /> Lab number <br /> 597oZ5aI <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day <br /> Condition of sample Temperature received <br /> Rush <br /> ReIin wished by sampler Date Time Received by 2 Business Days ❑ <br /> 041-7 1500 <br /> Relinquished by Dale Time Received by Expedited <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 /> APC 3292(2 91) <br />