OSHA aromatic hydrocarbon monitoring chain of custody, Oct 2001

NYC 9/11 Public Portal Document

Chain of Custody Record SampfB Container Information 4418 PonsviHe Pike Reading, PA 19605 'Boente Type __ » phons; {6101 921-8833 fax: {610) 921-9667 I G p IH I —/ ANALYTICAL SERVICES # of Containers cd r |po# Job IO Preserved? [Y/N)

Report company Y. " Results QavC.) [ To:; CD G 1 CD M Telephane S n Meme H Depl. H • Send Company o Invoice Mailing Address § CD j To: Ci tv Crodit Card # Stale ZIP Exp. Dats zqPgge |P AS Quoted _ of ~~ ”” Q O H O I i-i < G i I Sampled by: Air Vat (L Matrix Date Time CD I-I SAMPLE DESCRIPTION or min) Type Sampled Sampled a ConimentsOfezards/ Locaticn Details O M O CD s H w i1 1 ad 4rdyfi^/ecyv-O3 Ska yict> NogUivl^d i I2 Z ' ! 3 o 4

CD 5 -02. ihai U-S^'T;------ n 6

7 ro 8 o 9 OD

a a« to Aqt. - I/-/-0) o) ll-o\ Special Lnstrutliops (including Data Delwrables and Turn Around Time): E LC5

SawJjeTreiiBquisiieTta^T/^ i Dacy y . Time [Saaiplei Relinquished by; J Samplej Relinquished (o; j Date । Time shippcF or cpurier bv: Samples received hj:

Met boil of Shipraent/Pclivery: UPS I ■ Date

PAS Courier t Time Samples Relinquiihed by:

Client drop on Other ni/EiiEdSiid Samples RecTU^in Ice? t Y Temp. Blank Sample Temp. bate; Samples rec'd inta^lVN ) Custody seals ir^sPI Y li^^/ay o ID on samplesmatch ) 5 VOC Samples naVg zero headspace?! Y Nfri/a » Sarritrt-gs properly ; preserved? f Y fjlm/a

NYC-WTC_000176314