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Supporting Documentation · Jan 28, 2025

44-25 Exhibit B-Complete - VI Letter Report - DPW West Orange - April 2023.pdf

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Page 97

Serial_No:04172317:05 Alpha Analytical hai t d :20FovbesBvd AIR Chain-of-Custody - NJ A Mansfield, MA 02048-1806 yeas Tel: 508-822-9300 Preece cn Fax: 508-822-3288 DateRecidin tab 4/4/23 | ALPHAJob# | 23172490 Client Contact Information Project Information NJ DEP Information of _cAcocs Zz, ‘ company: Cl Assousthes Project Name dil s+ Clegape (KD Bureau: Division: Contract No Address: 3 FY Ste loo _| ProiectNo:2Q0 OZOH Repo ° on - Data D ble AY, CEQA Sitelocation: O rax @ Project me) BR ADEx «D0 Criteria Checker: FAX: lam BE. EMail (standard pdf report) Email:_# CHEK ma A Around 2 Site Contact: Wf, Reha Standard (Specify) >< Billing Info 0 ' Site Contact Phone: Rush (Specify) | Ge sameasClient info PO# _ ; Canter | Coniter cage | incoming Few 3 Pressure] Pressure] Interior] Interior] Canister] Canister Controter <|, Time | Time | infield | infield | Temp, | Temp. | Pressure | Pressure Readout | aatcncenio | 2] B13 sample | stan (24] stop(24] wig) | 4) | on lop | cansize | in) sls $13 Sample identification Datets) | hrclock) | heclock)| estar) | (Stop) | (Stay | (Stop) | iNotet) | wNotez) | FlowReg iO | CanO | ay (Note?) @iote 1) ey) £ Ge |55SG-2 Ais 135) \49E (aE EHG-AF| C1 |OY [avat OSYY \396F4\ Ct | (GO IABISK 67 | sss Hops dl (SCA | A wSF| CUNGCF [i Ole Xe BEL 4 [iGo SBE 08 |ssso-3 Wadalt3ie 130 aes|-wtt| WELGE [27.3 oars |334/| GL |(uo pateeor! [ | 0% |ssso- Wabal po| toca -azerl-46s|44_| 4s [29.2 O1F4o \V F671 Ge | (GO AassTéoHNK ze 7 10 |esse-¢p Liaial (ils |WHle -A-sisgSe [SE |4 oCdeo |. GL |(@o psenry Custody Seals: 5 Temperature (Fahrenheit) Individual Preparing Canister/Containers and Laboratory Canister Certification Outgoing Sea No: > (aa) "Ambient a Minimum aia Ronica Mochada Incoming Seal No: 202 — AY <<" 43 Signature: WigAMieds JIA. i appate soo | 54 <e a3 Pressure Onches of Ha) Sena “Ambient Maximum Minimum (1) Refer to equipment tags for these readings, Suart ALt IPE oF, t (2) Readings provided in data deliverable package. Stop DIE 278 2F¢ Special Instructions/OC Requirements & Comments: , a ' [Canisters Shipped by: Date/Time: Canist hia by ite/Time: Please print clearly, legibly and ”, les E completely. Samples can not be Samy juished by: Date/Ty Receiygd by: Date/Time: logged in and turnaround time Fs D3, CF00 lock will not start until all ambi Relinquished byy Dat Z Received by: Date/Time: guities are resolved. All samples “ he CE WEA JA

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/Ty Receiygd by: Date/Time: logged in and turnaround time Fs D3, CF00 lock will not start until all ambi Relinquished byy Dat Z Received by: Date/Time: guities are resolved. All samples “ he CE WEA JA Lal -B- Zico submitted are subject to Alpha’s S=—= U2 De OSE Payment Terms. See reverse side. Apri OA 3 sci es) Pagevoure 101— ae Ie 44/93 30 Note: Combined External Chain of Custody and NJDEP Field Test Data Sheet CS SSS Yjy/2x I3B30

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