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NYC-WTC_000219094

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000219094–000219108
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NYC 9/11 Public Portal Document

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www.paC8labs.CDm Required Client Information: Report To; —* Section B I Page: ' of J | 611676 IRequired Client Information; Section A Cc>V^ To Be Completed by Pace Analytical and Client Section C Company Copy To; Quote Reference: Atc Ajj 0 J- •'■C Client Information (Check quote/contract): Address . , Invoice To: Requested Due Date: ‘TAT; Project Manager:

P.O. Project #: .So.? _____ Project Name; * Turn around limes less than 14 days subject to laboratory and contractual obligations and may result in a Rush Turnaround Surcharge. Profile #; /d)S'?-SV0 Phone Fax Project Number: _ ________ Turn Around Time (TAT) In calendar days. Requested Analysts: 95S.T iJLio g.io€ nix5-o4<n Section D Required Client Information: Valid Matrix Codes Q Q Preservatives MATRIX CODE UJ WATER WT tu yo SAMPLE ID SOIL SL O 5H ?§ OIL OL o o QJ o '"d o c 1 a 0)V) <n One character per box. WIPE AIR WP AR X X o 2 O d X o I 0) UJ (A-Z, 0-9 / Sample IDs MUST BE UNIQUE TISSUE OTHER • TS OT 5 mm / dd / yy hlJW^/p Q Q. 03 C ey z o it D X X X Z o rd I§ Remarks / Lab ID

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npir.mi *1 -RFF REVERSE SIDE FOR INSTRUCTIONS Form COCC11 Rev 0601

NYC-WTC_000219094

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NYC-WTC_000219094Source: NYC Law Department, mirrored locally

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