Chain of custody record, PSC Analytical Services, Nov 2001

NYC 9/11 Public Portal Document

d- u. PSC 4418 Pottsville Pike Chain of Custody Record Reading, PA 19605 Bottle Type X—T Sample Container Information KUL-.-yinruaaauBEaudKducdMiUKuusacASxaEJxa Phone:(610) 921-8833 fax; (610) 921-9667 ! G P IH I ANALYTICAL SERVICES # of Containers Ipo * Preserved? (Y/N| Nanris

Report company Results Mailinfl Address /^ (^ ^

CD To; tn state ZIP co m G K rd G CT M Natna Telephone # O o H o Send Company Dept. Z. A’/ H O ns o H tn (U Invoice ^®***^0 Addjess To: City

Ctedil Caid # TAY? State ZIP Exp. Dale w _____ ZofesU X|Pagc / of 2^. M PAS Quote# O n .2 Sampled by;’TS'lZ/rj^yq^/^ H

< M II H ID SAMPLE DESCRIPTION Air Vol. (L -mumIa) Matrix Type Rale Sampled Time Sampled /Coinments/Hazards/ Location Details a CT _________ O a M S H f 1 33Z M ?3 > 0 />?-z X S O ' P T) 3 /?7-S_______ nj 4 /y?-A______ c cr 5 \}oc-i ^6 M6r X w M ns u 6 _______________________ X 2"yX. H to n. 7 tA2Cr3_____ 422 A O X O 9 CO O. 10 o ♦ HI CT Special Iiistrucdons (including Data Deliverables and Turn Around Time): . /1-Z9 H .. /zic/yzY'^ J7y> Zb, /Al T IT, u° I—i Samples relinquished Date Time Soinplet Relinquished by: Samples Relinquished to; Date I Time shipper or courier by; ' ' * o □ Samples received by: Dale Saiiiples Relinquished by; Samples Relinquished Time I—i Timfc

1° ______________ Method of Shipinent/Delivery. DPS _ . ......... I__ __ ^FliDYiTT^ PAS Courier Client drop oil Other I Laboralon: A/A/ l/Sr^)

§ > co 0 Samples Rec'd.X-tce? (Y N dTal^ Temp. Blank _______ Sample Temp.______ Noles : 4^ Z (JI Samples rec'd intact^Jl ) Custody seals intact?! Y N ID on samples match COCAS' N ) CO C7l VOC Samples have.zero headspace?! V N ?<^4z Samples properly preserved? ( Y N<jT/a ) CO iTg

NYC-WTC_000179290