Chain-of-custody form for analytical request

NYC 9/11 Public Portal Document

t^riMiN-ur-uui) I uuY / Analytical Hequest Document Analytical" The Chain-of-Custody Is s LEGAL DOCUMENT. All relevant fields must be completed accurately. www.pacalaln.rain Required Client Intormalion: RetMitTo: -T SeCtlOfl B I Page: j of l 625144 Required Ghent Information: Section A _______ cjCV>AA-a^ <_o V\iA To Be Completed by Pace Analytical and Client SeCtiOH C Company Copy To; ■Tr Quote Reference: ypic. Client Information (Check quote/contracl): Address Invoice To: Requested Due Date; TXT Project Manager:

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Project Name: • Turn around times less than 14 days subject to laboratory and contractual obligations and may result In a Rush Turnaround Surcharge. Profile #: /’PST') / 7 7^ Turn Around Time (TAT) in calendar days. Phone Fax Project Number. Requested Analysis:

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