NYC-WTC_000182790

NYC 9/11 Public Portal Document

.... S J C’ TKir' : jna'--ica' eqzTSt P' TUI"nt ri The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. PaceAnalyticar www.pacelats.ea 1)1 Required Client infofmation: Report To: SectionB Page: ) of ( | 623616 Required CHenl Iniormation: Section A Qo^v>. To Be Compleled by Pace Analylical and Client Section C Copy To: Quote Reference; Yrc Maiectolc. 1 Cjjent inlormalion (Check quoleZcontract): Invoice To: Requesled Due Date: *TAT: Project Manager:

ej.sll' letTL s’ iZdSiqPA P.O. Projeci #; * Turn around tknes less than 14 days subject Io ,v /ovk , ,V7 jocu'o laboratory and contractual obligalions and may result in a Project Name; Rush Turnaround Surcharge. Profffe #: Turn Around Time (TAT) in cafendar days. Phone / I Fax Project Number: Requested Analysis: / XIj /i’5-j - - ?35 q < jy - Section D Required Ct enl Inrormalion: Valid Matrix Codes ◄---------- Q Q Preservatives M-ATAIX CODE LJJ Lb WATER WT lU O a SAMPLE ID SOIL OIL SL OL O o S LU Pd £2 0) c p> o One character per box. WIPE AIR WP AR X oc 8 8 CD C □ £ 4) tn X o OJ c (0 UJ (A-Z, 0-9 / Sample IDs MUST BE UNIQUE TISSUE OTHER TS OT s mm / dd / yy hh: mm a/p O Q. C 4*. □ X X s O X <3z z 0) £O Remarks Z Lab ID

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NYC-WTC_000182805