Chain of custody document from PSC Analytical Services regarding the receipt and analysis of samples for the DEP cleanup project.
NYC-WTC_000130104–000130402
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
PSC Analytical Services
• Sample Receipt Checklist
Client Name ATC ASSOCIATES Date and Time Receive 10/11/2002 10:00:00 AM Work Order Numbe R02100401 Received by TMH
Checklist completed b Reviewed by /O• // • 0 L._ 1Cs1tuJdY. Signature Date Initials Dale
Matrix Carrier name FedEx
Shipping container/cooler in good condition? Yes r ' No.. . Not Presen Custody seals intact on shippping container/cooler? Yes ! . No ❑ Not Presen ICJ Custody seals intact on sample bottles? Yes I -i No Li Not Presen U Chain of custody present? Yes LLB No Li Chain of custody signed when relinquished and received? Yes U No •.-
Chain of custody agrees with sample labels? Yes `mil No Samples in proper container/bottle? Yes I I No
Sample containers intact? Yes LJ No ❑ Sufficient sample volume for indicated test? Yes I~/-I No
samples received within holding time? Yes ICJ No tainer/Temp Blank temperature in compliance? Yes ELI No ❑ Water- VOA vials have zero headspace? No VOA vials submitted ELI Yes ❑ No I
Water - pH acceptable upon receipt? Yes EL No Adjusted? Checked b
Any No and/or NA (not applicable) response must be detailed in the comments section b
Client contacted Date contacted: Person contacted
Contacted by: Regarding
Comments:
Corrective Action
.,. -..,-.. ,--, . ,- - . .
NYC-WTC 000130223
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Chain of custody document from PSC Analytical Services regarding the receipt and analysis of samples for the DEP cleanup project.
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