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NYC-WTC_000220139

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000220139
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Scanned page image, NYC-WTC_000220139
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NYC 9/11 Public Portal Document

STL EDISON 177 Nev/ Durham Road CHAIN OF CUSTODY / ANALYSIS REQUEST S's flj Edison, New Jersey OSfll? .on •’ Phone: (732)549-3900 Fax: (732) 549-3679 PAGE Name (for report and Invoice ) Site/Project l^nJificalion - / /) o rc Sarapiere Name^rinled) h'S CD

□ ComMfiv / P.O.# ' Stata (Location of site): NJ: □ NY: CT Olher ai ro

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2 Week □ / Job No: Phona ' Fax 1 Week

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I Presarvallon Used: 1=ICE. 2=HCI. 3=HjSO,, 4 = HNO3. 5 = NaOH Soil; CD -J 6 = Olh9r , 7 = Other Waler; CD I CD Special Instructions. Waler MalaJs Filtered (Yes/No)? CD CD Rellnq^ed by ”7/ Coprpany / Date/Time Company » I CO SIX- PD -J Relinquished by ' Company Date /Time Received by ' Company CD n H 2)___________ 1 2) LO I Relinquished by CoiTipany Date/Time Received by Company ! ® n 3)__________ __l_ 3) o o Relinquished by Company Dale/Time Received by Company \ TJ r o 4)_________________________ ___________________________ 4) o o ro o o Laboratory Cerfitication.s: New Jersey (12020), New York (11452), Pennsylvania (68-522), Conneclicut (PH-0200). Rhode Island (132). co co <71 (_n

NYC-WTC_000220139

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NYC-WTC_000220139Source: NYC Law Department, mirrored locally

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