NYC-WTC_000208631

NYC 9/11 Public Portal Document

I STL EDISON o 777 Navy Durham Road w 3 Edison. New Jersey 05017 CHAIN OF CUSTODY / ANALYSIS REQUEST IP T Phone: (732) 549-3900 Fax: (732| 549-3679 PAGE co

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Preservation Used; 1=ICE. 2 = HCI. 3-ri,50,. 4 = HN0j. 5 = NaOH Soli-. Ato 6=0lher , 7 = Other Water; to I CD Special Instructions. A Walsr Malals Filtered (Yes/No)7_____ CD CD Rcllnmil^ed by // C^any / Date/Time BBceiveTbyT/ 4 Company *

O 1) ’Mi 03 ro H Rellriquished by ' Company pale /Time Received by ' Company cn Y 2) I 2) I—i s Q Relinquished by Company Date / Time Received by Company

o o 3> I 3) o o I Relinqifished by Company Dale/Time Received by Company tJ o o o o 4) 4) re cn Laboratory Certficalions: New Jersey (12020), New York (11452), Pennsylvania (68-522), Conneclicut (PH-0200). Rhode Island (132).

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NYC-WTC_000208631