NYC 9/11 Public Portal Document
STL Edison
i - 777 New Durham Road
s r.EdisoiiT'New Jersey 08817 CHAIN OF CUSTODY / ANALYSIS REQUEST
o Phone: (732) 549-3970 Far (732) 549^679 PAGE 1 OP 1
s Name (lor report ami Invoice) Samptere Name (Printed) CCentID: weso
Paul Nadzan
Company P.O.# state: NY
STL Edison
Address aariy«fi.Tunnn3tm(t iSnw ANALYSIS REQUESTED (EHER-reajcn LAB USE ONLY
TTf New Durham Road StandwdL□ ■ Project No:
City state Zip pash ChtrgB Aulhoftefirf Fan
Edison ,, MJ 08817 ZVAwk □ Job Ito:
Phone
732-549-3SCD
Fax
732-549-3679
1Wb* □ FULL
No, of. DIOXIN Sample
Sampla Jdsnfificafion Date Time Matrix Coni. By 16138 Numbers
Z W68Q-3S13qa 05/22/02 13:00 GW 1 X
o W5B0-3^1809
►—I 05/22/02 1230 GW 1 X
w
s
<
w
o
z
w
D£
H
Di Dale: 23WYiS2 SHIPPING $27,88 1
o
s .•SU.-* Wat; IS LBS EPECIRL SC-SB
HRrSDLirSG Se .flQ
TOTRL $28. M
SERVICE: Pm«»TVW^O<r
I 1
TRftlX! 4783 2973 8504
o PreservatfonUsed: 1=ICE, 2-HCl, 3=H2SO,. 4 = HNQt, 5 = NaOH Soil:
lO
03
CO 6-Other. 7 = Onier Water;
CM
CO SpadaHnatnicfloip; /-) PLEASE FAX RESULTS BY 05/31/02 Jfi/ater Metals Fteiud (YesMo)?.
> ——
co Compsny Date/Time fteoeivedby Company
o 03
STL Edison sraraa J7M 1) Federal Express
H
3 ReTimjinahed by Company Date Z Time Received by Company
co 2) 2}
S STL Sacramento
O IC
O
BBD FUveiBWe Parkway
O CM
O WeslSacramenlo. CA 95605
I o
o CM
o
o CO
(JI o
N)
O
NYC-WTC_000182140
OCR can misread numbers and units. Confirm readings against the page image before using them.