Chain of custody summary, environmental samples

{010/010 MORETRENCH AMERICAN 07/03/2002 13:08 FAX 973 627 3950 NYC 9/11 Public Portal Document STL EDISON 777 New Durham Road Edison, New Jersey 08817 Phone: (732) 549-3900 Fax: (732) 549-3679 CHAIN OF CUSTODY / ANALYSIS REQUEST | PAGE __ ao Name ( for report and invoice ) Samplers Name { Printed.) Proreg ey, as (Or Jo— id Frade C et Cusre) Company # State =a of sits): NJ:E Tay: Bd Other: . Wap re frente a O/ - G9 (a) G Reguiatory Program: Address . Analysts Turnsrourid Time anaes REQUESTED ¢ ENTER "BELOW TD INDICATE REQUEST } LAB USE ONLY § he é fe A ve sanders [_} as Project No: City State Rush Charges Aatharizad For: | R bake awa aa LY Ss 2weak{ | » fo Job No: Phone 1 Week, ke fa 8 Q an 4 KS O4 io. Of. f Wes A whey ay Sample Sample Identification Date {| Time | Matrix | Cont. g Be 8 uf Numbers Cro 20 HP Sunp Pop ISvadiSmIHao} I) 1M 4 are Pan ba 25 6 62— Sa Sg = [Preservation Used: 1 = ICE, 2=HCl, 3=H,S0,, 4 = HNO,, 5=Na0H Soi: 6= Other ___,7= 7=QOther Water: Special instructions * CA , CA. Or, t, Gr, Ga —_ tb ny wi. mm n__ Cnyorodifwrravnethaing Water Metals Fitered (Yes/No)? a eee | Relinquished by Date / Time IRe Company ae Co CS THT /821S, OGD |, VA CHALCICA Sr. Relinguished by Company Date / Time Received by. Company 2) | 2) Relinquished by Company Dale / Time Reoslved by| Company 3) | 3) — by Company Dale / Time Received by; ‘Company 4) ] 4) NYC-WTC_000186495 | | | at -—— ior) CITY_21MC100_004696885