Chain-of-Custody Form for Analytical Request

NYC 9/11 Public Portal Document

CHAIN-OF-CUSTODY / Analytical Request Document The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. ^ceAnalyticaT Section B www.pacelab5.coin Required Client Information: Report To: A Page: | of ( 625143 Required Client Information: Company , , Section A »- Copy To: oU To a© Completed by Pace Analytical and Client Quote Reference: Section C Client Information (Check quole/contract): Invoice To: Requested Due Dale: *TAT: Project Manager:

RO. Project #: * Turn around times less than 14 days subject to /Z>Z/ laboratory and contractual obligations and may result in a Rush Turnaround Surcharge. Profile #: Turn Around Time (TAT) in calendar days. Phone Fax Project Number: Requested Analysis: ^1^. Y? f o Section D Required Client Information; Valid Matrix Codes Q Q Preservatives MATRIX CODE LU UJ WATER WT LU e; o U O SAMPLE ID Q

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