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ARCO UMS Company <br /> } o1 Atlantic-Ridtield Company Task Order No. Cha! f Custody <br /> �ARCO Facility.no. yj' {Flacility) � /�,� J�, c,K f�roject managerRCO engineer (Consultant) e J r -° Laboratory name <br /> Telephone no. <br /> lefephone no. Fax no. <br /> r (ARCO) (Consultant) ,? " a' " ,� �' <br /> Consultant name f , (Consultant), <br /> Address <br /> t= C' ut1 rw s5, , r.. S (Consultant) sC Contract number <br /> Fi .v ."f". <br /> Sx,; <br /> Matrix Preservation O L Method of shipment <br /> 1 r 4 �, w a rt <br /> i Cl n E N m� E� ❑ .. <br /> 1 — m �^ cQv },��o a v, w ci o 0 0 ❑ a❑ r.i <br /> E d Soil Water Other Ice Acid 9 ¢ 0.n a m m <br /> J O E E Xw � ❑ c� a c�a m �❑ <br /> U N F o FW- rn hj 0.d ti m R m N 4�t .,,t <br /> in mm mut F (9 Ov t-ur w yr r–g c,�' ��� uti 1Li <br /> All { � �? +F,,,_ t. Special detection � <br /> t. Urnitlreporting <br /> Special QV0C <br /> Y. <br /> i <br /> Remarks <br /> i <br /> !_ah number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample: temperature received: <br /> Relinquished by sampler t <br /> Rush <br /> r,r /', Date fl-Im <br /> Fleceived <br /> by 2 Business Days`,Relinquished by-' Date Received by' ' Expedited <br /> 5 Business DaysRelinquished by Date Received by Date Standard <br /> Time 10 Business Days <br /> Distribution:White copy—Laboratory; Canary copy—ARCO Environmental Engineering; Pink co <br /> APC-3292(2-91) copy—Consultant <br />