OSHA aromatic hydrocarbon monitoring chain of custody, Oct 2001

NYC 9/11 Public Portal Document

r w

Chain of Custody IHecord Samp/e Container information 4418 Pottsville Pike Reading, PA 19605 Bottle Type phone; (610) 921-8833 fax: (610) 921-9667 f G P IH ) ANALYTICAL SERVICES # of Containers fpo # Preserved? (Y/Ni cz)' 17494-0159 Namo ■ROMCy Report Results Mailing Address 21^ tS JQ^^Ft

cn To: G W G Telephone H M O H Telephone S AS Agdv'g Send Company Depl. o RJ Invoice Mailing Address o H To: City State ZIP X|Page of O O Credit Card # Exp. Dale H O r? PAS Quote// 3 I a Sampled by: SAMPLE DESCRIPTION Air Vol. (L or min) Matrix Type Date Time Sampled Sampled o H Coinments/Hazards/' Location Details 173 G O H n H > AS “^7" -Tzi SESSSs^^^ggBgggB^ll G G - a 2 (VTCioSI 5-0 -JiTv V 1 LfuJ /ttt— “y g c O 3 fr'TO. lol'i ~ ^3 Z3K 4. & 4 ///s Ul M tVYciO'^./ 202^21 T) H 6 (\T(L rO'ii W (14 7 i.i Pt-K to3.t 1 8 o 9 fo^i y-<2> IO Special InstrucUons (including Data Deliverabicj and Turn Around Time):

o Samples Relinquished by: Samples Relinquished to: । Date Time 1 Samples received by: i I- Date Time Samples Relinquished by; Samples Rcliiiquisliej^o / iJ2^ i ro Laboratory: 1/^^^ IS Melhod of Sliipiiient/bellyei-y: UR FEOT PAS Courier Client dropaFF Other O Samples Rec'd. on Ice? ( Y N ^fiT^ Temp. Blank ______ Sample Temp. Notts ; o 1^ Samples rec'd intac<?<iriN ) Custody seals intact?! Y ID on samples match COCQ^ ) o VOC Samples have zero headspace?! Y N(5i/a^ Samples properly preserved? { Y N ^YTaj -J

OS

NYC-WTC_000176312