2 shared non-person entities · 1 shared topics · similarity 0.985
machine-extracted · confidence unavailable · Check page ↗Document / 2 pages
Chain of custody form, analytical services, Nov 2001
Machine-extracted title · confidence 85%Form documenting the chain of custody for samples submitted to an external analytical laboratory in November 2001.
NYC-WTC_000182778–000182779Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
Chain of Custody Record Samp/e Container /nformation 4418 Pottsville Pike Reading, PA 19605 Bottle Type l=> phone: (610| 921-8833 fax: (610} 921-9667 f G P IH I ANALYTICAL SERVICES # of Containers |po# Preserved? {Y/N» Name Report Company Results Mailing Addrass To: A/y t zs!^_____ Slate
Mame Telephone #
Dept. Send Company invoice Malting Address To: City State ZIP of Credit Card ff Exp. Date PAS Quote# Sampled by: Air VoL (L Matrix Date Time SAMPLE DESCRIPTION -orminj Type Sampled Sampled yZ Comments/Hazards/ Location Details 1 — Stf ’TY>? r/U "I' 1'j 2 tn t-- 12, Jr I 3
4
5 6 7 S Q 9 H 10 Special Instructions (including Data Deliverables and Turn Around Time): S O Samples relinquished to Date , Time Samples Relinquished by; Samples Relinquished to; J Date I Time o o shipper or courier by: f i I Samples received by; I Date I Time Samples Relinquished by: Samples Relinquished to j Date I Time o o I Laboratory: co o Method of Shipmentateiivery: UPS^ FED-EX-^ PAS Courier Client drop off Other I—i co Samples Rec'd. on Ice? ( Y N n/a) Temp. Blank Sample Temp. Notes: co co Samples rec'd intact7(Y N ) Custody seals intact?! Y N n/a ) ID on samples match COC?( Y N ) VOC Samples have zero headspace?! Y N n/a} Samples properly preserved? (YN n/a I
NYC-WTC_000182779
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NYC-WTC_000182779Source: NYC Law Department, mirrored locally
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