NYC-WTC_000223178

NYC 9/11 Public Portal Document

I I / J^dceA/iaiytica^ www.iMcalalM.Mai Bequltyi Client Infrormation: ReponTo Z) i Section B I Page: 1 of । 625144 Required Client Intormation Section A L O VLv^ To Be Completed by Pace Analytical and Client Section C Company Copy To: Quote Reference; /JlC' - /1-SlotAoJlz, Client Information (Check quota/contract): Address Invoice To; Requested Due Dale: ITAT: Project Manager \ou jyti- P.O. ■ Turn around times less than 14 days subject to latxratory and contractual obliqatim and may result In a Project Name: Rush Turnaround Surcharge. Profiles:

Phone pg ^34 H Turn Around Timo (TAT) in calendar days. F«x Project Numtrer Requested Analyeis: / .£i4 ?5'7.23a/-> I Section D Required Client Intormation: VaM Matrix Codes - ------------- s Praservatlvea

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H /2?/C SAMPLE CONDITION SAMPLE NOTES / Temp in °C Received on Ice 12^ SAr.lPLtR NAMF ANU SIGNAtUHF Sealed Cooler c^, rk { PRINT Name of SAMPLER:

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NYC-WTC_000223178