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C CoMpny 40 = = = = a Susto' dyAtrenticMehfisidComyany task Order No �? -� <br /> ARCO Facility no City ` Project manager n Laboratory name <br /> Facilit �+vl Consultanl A <br /> ARCO englneer Telephone no Telephone no Fax no JU ��n <br /> W AIA- ARCO Consultant L– ?–M Consultant G "1 <br /> Contract number <br /> Consultant name Address <br /> f-.wr S�OGI A�� (Consultanl G '� $�-Jn # 7V C <br /> Matrix Preservation E❑ 1 Method of shipment <br /> {per qq�t N p q K1e <br /> <J7 O7 O Y N C N N O �/7 p ❑ <br /> m o E Soil Water Other Ice Acld a n a 8 9[] m ❑ ffi❑ o�w n <br /> a c 2 ME) <br /> _ a `� <br /> LU <br /> °� U <br /> d a- <br /> (6 m w 10.-w w wa wa U � <br /> Special Eon <br /> LimtVrepordicgCIO 714Y3 alts QOMW <br /> I <br /> Special ONOC <br /> Remarks <br /> i <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 ' 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Relinquished by sam ler Date Time Received by 2 Business Days ❑ <br /> joyv --- yg.Z3SS' tiL 7 2� 3 l S <br /> Relinquished by Date Time Received by Expedited <br /> 5 Business Days ❑ � <br /> 1 <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 /> APPC 3292(2 91) <br />