OSHA aromatic hydrocarbon monitoring chain of custody, Oct 2001

NYC 9/11 Public Portal Document

r«p=i«^ 4418 Rousvillc Pike Chaiti of Custody Record Readina, PA 19605 Samp/e Contafner information HI 3 Boule Type GT phone: (610) 921-8833 fax: (610) 921-9667 ANALYTICAL SERVICES in P IH ) cn of Containers cz^ o WTCIi>^C ^°<'°{5'-l74<^4-<5>3q ~ Preserved? (Y/N| CZ> w

o Tgiygg-O cn Report a Results To: co G W A c?^^j ^-*3 - ofc X w tn q o Send O'p'- X H 1 ■ 4 □ xW 01 w O Invoice Mailing Addms (-• nj I To: Chy Stiito 2IP CW t£ ige of o H n Credh Card # £xp. Dale f-i PAS Quote# o Hl o o H O Sampled by; H G Air Vol. (L Matrix Dal* Time < ormJn) tn P] H SAMPLE DESCRIPTION Typ« Ssmipted S«mpk4 yZcomnients/Haaafds/ Location Deails « T

4 o o w 1 X, C J7d 2 O H H H i 2 /ifrZ/r):7/f-F. -ft AZ X O It w 3 fin- /CTJi - 0,^'^------- G - 1 ® O p N fa‘Xf -F} -F£lif- X 3 fhz'. i£‘^9 -Fa -A 75^ M X ff) i', S 7^ O DT CD «» ’ ffrr. , X ro hd <s 8 iirc.jnJy -jr. -^7k 0^^ fhA le/T^'ia V to CD M O z 9 0) <1 10 CO Special Inslruciions (including Data Deliverables and Turn Around Time):

Samples Relinquished to'~..... \ / Time Samples Relinquished by: Samples Relinquished Io: I Dale J Time shipper or courier by: i/opyofi 1 ZSSd^ Samples received by: ; Date Time Satnplct Relinquished by; . . Samples Relinquished la o I Lahoraiorv; Mcliiod urshitimenVPenVcfy: UPia Courier H client drop oft Other TJ kJ I Samples Rec'd. on Ice? ( Y (g) n/ai Temp. Blank _ ,^ Sample Temp. Notes; . Samples rec'd intact?J Custody seals intact?! Y N ID Pn samples.match C0C?(^N I

R VOC Samples have zero headspace?! Y N Samples pfoperly preserved < Y N

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NYC-WTC_000176310