Chain of Custody: DEP Cleanup Samples, October 14, 2002

NYC 9/11 Public Portal Document

PSC Analytical Services Sample Receipt Checklist

Client Name ATC ASSOCIATES Date and Time Receive 10/10/2002 9:50:00 AM

Work Order Numbe R02100360 Received by NAG n Checklist completed by ~!)1~/6 L Reviewed by Lb/V ~1 S store ` oa~e w~ia~s oat

Matrix: Carrier name FedEx

Shipping container/cooler in good condition? Yes ivi No! .1 Not Presen ❑ Custody seals intact on shippping container/cooler? Yes L. No Not Presen

Custody seals intact on sample bottles? Yes 1. 1 No Li Not Presen W Chain of custody present? Yes No. 7 Chain of custody signed when relinquished and received? Yes I 1 No U Chain of custody agrees with sample labels? Yes 1 1 No ..i

Samples in proper container/bottle? Yes Fi! No

Sample containers intact? Yes X11 No

Sufficient sample volume for indicated test? Yes h/! No . 1 All samples received within holding time? Yes V No I .~

Container/Temp Blank temperature in compliance? Yes I No : .1 Water - VOA vials have zero headspace? No VOA vials submitted L/I Yes Li No L I Water. pH acceptable upon receipt? Yes No Adjusted? Checked b

Any No and/or NA (not applicable) response must be detailed in the comments section be

Client contacted Date contacted: Person contacted

Contacted by: Regarding:

Comments:

Corrective Action

C7

NYC-WTC 000130045