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
0 Client Name ATC ASSOCIATES Sample Receipt Checklist
Date and Time Receive 1011112002 10:00:00 AM
Work Order Numbe R02100403 Received by TMH
Checklist completed b T 10 Reviewed by ,G /Q . /1 . 4 Signature a Initials Date
Matrix Carrier name FedEx
Shipping container/cooler in good condition? Yes No — Not Presen
Custody seals intact on shippping container/cooler? Yes I I No L Not Presen
Custody seals intact on sample bottles? Yes i . l No ❑ Not Presen
Chain of custody present? Yes i ! No u
Chain of custody signed when relinquished and received? Yes :V'• No —
Chain of custody agrees with sample labels? Yes I No
Samples in proper container/bottle? Yes I1 No
Sample containers intact? Yes [ I No u
Sufficient sample volume for indicated test? Yes h/i No ❑
samples received within holding time? Yes i No Ci *I Container/Temp Blank temperature in compliance? Yes 1 i No ❑
Water - VOA vials have zero headspace? No VOA vials submitted 1 I Yes I . i No ❑
Water - pH acceptable upon receipt? Yes I No C 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 000130157
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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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