NYC-WTC_000117652
EPA
USEPA Contract Laboratory Program
Generic Chain of Custody oor ()) 00 |
Origination ID: 033982476 10112002 1035166
Request Type: oO
BIN#: 1083376
Zip Coda:
Confirmation &
PD Sequence ID:
Floor/Apt:
Requestor Name:
Normalized Address
Project Leader:
Activity:
Agency:
0020210105588
805310
lenn Kassis
385 South End Avenues
alex kazakov
Special Pre Monitoring
Date Shipped: 14/2/2002
Carrier Name: Hand Delivered
Alrbilt:
Shipped to:
EMSL Analytical inc
307 West 38th Street
New York NY 10018
(212) 290-0051
Chain of Cusindy Record Sanfer . .
santo eta hee de
Relisquished By {Date/Time} | Received By (Date! Time)
OZ a NS ZPIILIL:
30 {i ZL ;
‘ ( | 2
SAMPLE No.
Coll. Metiods ANALYSIS
SAMPLER TURNAROUND
TAGNa/ RESIDENCE/
PRESERVATIVE No. COMMON AREA Ip
of Putiies
SAMPLING VOLUME (L)/ SAMPLECOLLECTION DURATION calc.
LOCATION AREA (cem} DATETIME (min} Vol {L)
C5568-305-559
05568-305-580
bulk sample/ HVAC (Std)
alex kazakov
buk sample/ HVAC (Std)
alex kazakov
¢
&
HOH bd on ool
$
i
667 (1) 385 SE Ave. Alr Dust
668 (1) 38S SE Ave. Alr Duct
Mech.room 2ndfloor —-area:
supply duct (HV-21)
S: 11/2002 - 0.00
E: 11/2002
14st floor fresh air supply area: S$: 114/2002 - 0.00
duct E: 44/2002
Shipment for Case
Complete?
Sample{s) to be used for laboratory QC:
Additional Sampler Signatures):
Chain of Custody Seal Number:
Analysis Key:
HVAG = HVAC
Shipmenticed?
TR Number:
PR provides preliminay resvits. Requests for preliminary resuéts will Increase analytical costs.
Office, 2000 Edmunc Halley Or., Reston, VA. 20191-3400 Phone 700/264-9348 Fax 703/264-9222
Send Copy to: Sample
10280-033982476-110202-0005
All flow rates are Lin
WTC
FNS2AWIC Page 1 of 1
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000117652Source: NYC Law Department, mirrored locally
Chain of custody record tracking the collection and transfer of volatile organic compound air samples from the World Trade Center site on December 17, 2001.