OSHA aromatic hydrocarbon monitoring chain of custody, Oct 2001

NYC 9/11 Public Portal Document

Chain of Custody uecord Samp/e Container /nformat/on 2 O B 4418 Pottsville Pike Reading, PA 19605 Bottie Type ~Z7 ro phone; (6101 921-8833 fax: (610) 921-9667 _ (■R P IH 1 W ANALYTICAL SfiRVlCLS if of Containers cz^ □ ~ |po # 15-1149 4-Qi 59 Preserved? (Y/N) (Z:> a -ROM Ely 'g ; V £ R. O Report a Results CT “D

co To: a w Telephonn y(z(- DZztOFax S Qlh ^<3-ig5ttC Q T iP/ qM CT CT X H O Send Company Depl. □ nj Invoice Address 01

o CT H To; City stale ZIP XI Fa co _ of ■_ / f+ n o o Credit Card # H O Exp, Date PAS Quote# O 0) H 23 < Sampled by: Air Vol. (L Matrix Date Time P] H a ornUn) Sampled Sampled CT O M 'sample description Type Commcnts/nazards/ Lncalion Details 01 2 a H H H X < 2 - i 4Q5/7;4-tr)2/'WV Y O n O 3 XTC^ //(OS - O 5- -62/ — I/) V 7SiS, * w J 4^//OS- CT hd H 6 7^f,l X O CT 1 A7(L//os-i^A3-O7 ' ro oK ' I-* o 8 /(T?! //nz K CT CT co 9 CT

10 Specisli In'S(rueIbns (inejudin^ Dala Deliverables and Turn Around Time):

o Silin plcs ielinquisEied to Dale I Time Suinplcs Hcliiiqitislicd by: Sumpies Relinquished (u: Dale I Time shipper or courier by; I Suriipks received by: Dale Time Sjjmpks Relinquished by: Samples Rcliiiquiihed / /Date _^ gime I Labonilnry: VW 2 McihZTTfShipmcm^ PAS Courier Client drop olF Other o TJ o Samples Pp-c'd on Ice? ( Y fYtnZSlj Temp. Blank ____ ____ _ Sample Temp. _____ Noles ; CT 1° Samples rec'd intaeV^ ) CustoilYseals int^?( Y 10 on samples match CO^j o

J VOC Samples hJv^ero headspace?! Y nX?/?/) SampI^ properly preserved? ( Y -J kO

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NYC-WTC_000176316