OSHA aromatic hydrocarbon monitoring chain of custody, Oct 2001

NYC 9/11 Public Portal Document

i—onaK 1 J Chain of Custody Record Samp(e Container information | ) i; aBBDMHBOBniaHn ^^^JmwTtiCAl’s'e^ 4418 Pottsville Pike Reading, PA 19605 phone: (610) 921-8833 fax: (610) 921-9667 ~ Boule type ( G P IH I A^ w --------------------- —----- ----------- ---------- ----------- _a H of Containers CQ ----------------- ------------------- _____---------------------------- - ------ Q Yl p~' 1^ -* 15^ 174^4-01'5^ Preserved? (Y/N) CZ>

Report Cempany^^ j , \tJC- fz “ Results V To;

CO Talephono V -;;®y5OFax « Q-(Q 3^,,

'ill ■1 -0 tn C Telephone H n W KI Send Companv Dept. m O A □(u A O InvoiCG Mailing Address • To: Ciiv Slaia ZIP Az [Page Z _225iZl of^ <£ r+ 73 H' Credil Catd S O A id' Exp. Data r PAS Quote# n Cu KI O A o o v Sampled by; SAMPLE DESCRIPTION Air Vol, (b or mln) Matrix Typf Dale Saiilpled Time Saiiiplci z^Commenls/Hazards/ Location Details ----- — (D fD <KI ------------- T a o iSOL /hA a Kl K) § n

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3 /Ire/!rj7 }eA-0SL ' /hrtC w 4* Q I o 4 5 fhz. If67. Vo CD 6 Zfrg, //g? (V |V j O 1 t / CD ro 171 /}rc //£>7 K A 8 /ire. 1167 CD cn DO 2. /) III cn • <s O Zr/ZL Z/g? |#5.';a|yv4y l^'' n I 1 V Special Instniclions (including Data Deliyer^les and Turn Arnund Time);

Samples relinquished —————— Samples Rclinquishod by: j Samples Relinquished to; I Date I Time shipper or q Samples received by: " , Oa^e ' Time Simples Reiinquisbed by: Samples Relinquished to _ DalB- Time

A I Lahoraton'i Inbp\'<^3c7 . I J Mciinid ofSbipineni/bsiivcry; ~'' t'AS Courier Client drop off Other ■Q ro

s 1 O Samples Rac'd, on Ice? ( Y Samples rec'd intar.tf^J^ ) nzZ Temp. Blank Custody seals intact?! Y N . Sample Temp.__ ~ _ ' ID on samples.match COfDj^H ) Notes:

1 o i VQC Samples'have zero headspace?! Y N f|t(^ Samples properly preserver^ ( Y N <^))

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NYC-WTC_000176324