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ARCO Pr is Company �; l <br /> Dry f AuanlicRichfieldbornpany Task Order No. � w ! Chain Custody <br /> ARCO Facility no. .p City �` Profecl manager � <br /> +� (Facility 3 ! ^�► 1 Laboratory name <br /> ;:= (Consultant) <br /> ARCO engineer G r / Telephone n Telephone no. ,1 Fax no. <br /> {�, Car (ARCO}yf�'Si� x+164 (Consultan!)-9/6 - BSZ-�64Q (Consultant) Contract number <br /> Consultant name Address T L— <br /> (Consullonl) Iby <br /> q�'•3-D <br /> Matrix Preservation ❑ Method of shipment <br /> _ a <br /> w m � <br /> o <br /> iz Q dr N <br /> to rn v �' m-r in o m m wU <br /> E ` Soil Wafer Other Ice Acid a a n' a <br /> CL c <br /> fn m o IL Iryl 1114 S '°� TQ d 4 C �`.4- QUI va0 <br /> "j U Ul <br /> �0•B 6 o11y11- _ -� �/ Special detection <br /> Limillreporting <br /> •S►5.8d - !r( rot to, <br /> - S•30• w/rs�f1 - -- - <br /> Special QAlOC <br /> 7 -- - - - — --- - ..... -- — <br /> .,�_gy <br /> - •ys•89 I rr -- - <br /> Remarks <br /> I <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample: Temperature received: <br /> Relinquish b ampler Date Time Re eiv / Rush <br /> lvh? ` ,l 2 Business Days C] <br /> Relinquished by Date 7 �l Time R ceiGed by Expedited <br /> 5 Business Days ❑ <br /> Relinquish y Date r Time Received by laborato Date Time Standard <br /> L� <br /> -17-1 / y,f� b ri� 3 10 Business Days <br /> Distribution:White copy—Laboratory;Canary copy—ARCO Environmental Engineering; Pink copy—Consul nl <br /> APPC-3292(2-91) <br />