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ARCO P ducts Company j a� Ch W- f Custody <br /> n of AtlanlicfthfieldCompany Task Order No Z <� <br /> ARCO Facility City Prol anager Labo ry name d <br /> C�? <br /> (Facility) L (Consultant) <br /> ARCO engineer Telephone no Ti5-� Telephone no F no <br /> ARCO / Consultant /� (consultant) Contraft number <br /> Consultant name Address <br /> Consultant �K �Gl�+• (r / <br /> Matrix Preservation ❑ Method of shipment <br /> m <br /> Ail, <br /> O m E 2 "' $ El 9 w I t <br /> El <br /> a c Solt Water Other Ica Acrd a 8❑ C5 -M❑ �❑ Q`Q <br /> E c E E u'�� x ��, z4 e 4 <br /> es <br /> CL CL as a a <br /> Co J V w CA @ m11.1 1-0 Ov F-W uJ W <br /> %pecial detection <br /> r \/ rj 2 S O fl Limit/reporting <br /> z02 �Pb <br /> 7 ` C <br /> Remarks <br /> 09� <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Relinquished by sam Tof Date I� Time Received by 2 Business Days ❑ <br /> C(� 1 <br /> Relinq €shed by Dat6 Time Received by Expedited <br /> 5 Business Days <br /> Relinquished by Date Time Recei ed by laboratoryt DV <br /> 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 />