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i <br /> ARCO P cts Companpg Chain us#ody <br /> D ofAdanuaRidrnek]lCompany Task Order No. <br /> ARCO Facility no R City /� A f'iolect wanagar Le1>onelo <br /> l�7 V (Facility) 1 T{L (A (Consultant} vyr� laboratory name <br /> E MARCO engineer�A�� Telephone no Telephone n� - Fax na -] �} <br /> Ij M (ARCOa (Consullant� J (Cansullatrt) �ji !�" t!5 <br /> Consuftant narn Contract number <br /> f IVq 1 Address ? 3s, 5� �} f! l t1 t <br /> I rtr yl1' {Cansutleiat) J JtI C� q �f� i S G�? frhl! f 4�i Jl� z U(,�LiO�-30 <br /> Matnx Preservalron t2 o Malhod f shipment <br /> o ❑ `v <br /> C E <br /> m- <br /> O CI C1 O �Y � O �'1 N V �� ❑ <br /> SoM Wafer Olhef Ice Acid a a a $ m Q I ' acv �Q WM /I <br /> p� n a M �❑ c� tl `� `' 0 0. <br /> X16 <br /> n< a f4 a4. m O a c <br /> ux rt m� mu7 i�c7 �v �w w w w �S <br /> Special detedlon <br /> Special QAdUC <br /> WAl <br /> Rantarks�6 <br /> CE <br /> H <br /> � � W <br /> Lab e <br /> � G <br /> p� Tismaraund Um'a <br /> CS) Zvi <br /> Prcorily Rush <br /> mry 1 Business Day ❑ <br /> Condition of sample Teirrper a re Ived <br /> Rush <br /> N Relinq�rished by em ler D le Time Re ved by 2 Business Days ❑ <br /> �#on <br /> � s orif VTited <br /> U Date { Time 5xBslness Days ❑tandard <br /> 'q-s-aoDate 71ma Reoalued by Date Time So 13ua ness Days <br /> Distribution Whrte copy--Laboratory, Canary copy—ARCO Crivironmental Engineering, Rink copy—Consultant <br /> APC-3292(2-91) <br />