NYC-WTC_000226903

NYC 9/11 Public Portal Document

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Required Client Information: Section A Required Client Information: Report To; ^'xjiVvv Section B I Page: V of t [ 611675 To Be Completed by Pace Analytical and Client Section C Copy To: ‘^•^HTC yhe Client Information (Check quote/contract): Quote Reference:

Invoice To: Requested Due Date: ‘TAT: Project Manager ‘*~/b4. T«iW~ RO. Project ff: * Turn around times less than 14 days subject to ______ laboratory and contractual obligations and may result in a Pmlect . Rush Turnaround Surcharge. Profile »: Turn Around Time (TAP in calendar days. Phona Project Number > Requested Arialysis: 4/4 Section D Required Client Intormation: Valid MalrTx Codes o Q Preservatives MATRIX CODE WATER vyr LU pg * SAMPLE ID SOIL OIL §■ o I- z! (2 CD c •D 0) /A/- One character per box. WIPE AIR X a: o - o o s s c 2 d o X o to o C Cd UJ (A-Z, 0-9 / .-) TISSUE o Q. OT o (O 0) xz

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NYC-WTC_000226918