Industrial hygiene report cover, Sept 2002

NYC 9/11 Public Portal Document

PSC Analytical Services 0 Sample Receipt Checklist

Client Name ATC ASSOCIATES Date and Time Receive 10/11/2002 9:45:00 AM

Work Order Numbe R02100418 Received by HG I i

Checklist completed by ;'~ Sig 71 G' a Uz Reviewed by In Is L? /o//y,,%2.

Matrix: Carrier name Feder

Shipping container/cooler in good condition? Yes V No ❑ Not Presen ❑

Custody seals intact on shippping container/cooler? Yes ~ No ❑ Not Presen

Custody seals intact on sample bottles? Yes ❑ No ❑ Not Presen

Chain of custody present? Yes No ❑

Chain of custody signed when relinquished and received? Yes No ❑

Chain of custody agrees with sample labels? Yes ❑ No

Samples In proper container/bottle? Yes No ❑

Sample containers intact? Yes 0 No ❑

Sufficient sample volume for Indicated test? Yes 0 No ❑

All samples received within holding time? Yes W No ❑

Containerfremp Blank temperature in compliance? Yes R No ❑

Water - VOA vials have zero headspace? No VOA vials submitted W Yes ❑ No ❑

Water - pH acceptable upon receipt? Yes ❑ No W1

Adjusted? Checked b

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

Client contacted - ATC Date contacted: () Person contacted WA c~ d j Contacted by: Regarding: SAm t

Comments: 2 lai L rt,c ek- y t ¶j> ills q

~''' IT ~o~ o~,a~dzi< pew j -,-t4

Corrective Action

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NYC-WTC 000131866