NYC 9/11 Public Portal Document
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Requested by Client : 11/15/01 Date Prep Sent :
Client Needs Prep : 11/16/01 Client Name : CA Rich Consultants
Ship Prep on : 11/15/01 PO#/Project # .
Account # : 1471S Client Project / Task-Dept :
Prep Address: * Bill Prep To
Mr. Steve Malinowski (Preps under $ 20.00 will be billed
CA Rich Consultants with sample results)
17 DuPont Street
Plainview, NY 11803
I Ship via : UPS Red Noon
Charge to: Client Contact by: Nancy Ackerman
Preparations Required
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Sampling Method, CHARGES
SOP #, Lot # Analyte(s) Unit Final
QTY, Media
.w.caY;y{,Y ~ :~+y~•~~~+~~:~?:;:juKs{y4;.0h>:.b,.•~~`:{,;:';} ' <;;'>;'> ,`~{; :%:5:2::5:it •
«? ~• ~~•X ;<:'<< { ::>:;: :: <,:.• «; High Flow Pump ® 2.00 LPM ofq <, 0 .0 0
s.
.~•~{ `'.; r•~•':>~. : (NIOSH 5506) j''•
High Flow Pump A 2 .00 LPM 0.00
• Pk R (PVC)
~ . «c3 cua'ry g
~>~•. •}' •. •, :fir' ~,~>;:.~{ LOW FLOW PUMP ® 0.200 LPM (HG) ~` 0 .00
% '<
LOW FLOW PUMP 0 0.200 LPM 0 00
,y~. may, - - •y >. •a,• r,:,a:it{ (PCB) `.:z.
`t' ' High Flow Pump ® 2.00 LPM f#yiXs 0.00
I • t#1{ { ~' z
i?~•~:• VOC s .~ 0. 00
mini-can
O4 O;. 0.00._.
X344 hour Regulator for .. ...J.{C ..... i:MSS:>YYFn}ihG 2S?•r>.:! >: ..
s€ ;t< : h PAH : 0.00
37mm teflon filter(SKC
225-17-07; use Cutout
s4gasket , tin foil squares '`
Chain of Custody: (x) Yes [ l No Shipping Charge = $ 35.00:
Copy of Method ? [I Yes [] No
* Total Charges = $ 35.00"
I * Orders exceeding $ 20.00 will be billed separately.
verified.
Shipping costs are an estimate and are subject to change once actual cost is
IvAc/1 00 i
Comments/Special Instructions
Anticipated Date of Sample Delivery : Turnaround : Standard
Fee Schedule : 2001 Quote # :
Distribute to : GC LC MET WET Reviewed By : Date
Galson laboratories. 6601 Kirkville Road. East Syracuse. New York 13057 315-432-5227
NYC-WTC 000108557
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