NYC-WTC_000197672

NYC 9/11 Public Portal Document

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Special Instructions (including Data Deliverables and Turn Around Time): o H j Time Samples Relinquished to: Samples Relinquished by; I Time M ,I I—' Samples received by; Date I Time Samples Relinquished by: ----------- .. I Method ofShipment/Dclivery: UP^ AS Courier Client drop off Other o U 1 Samples Rec'd. on Ice? ( Y N Temp. Blank Sample Temp._____ Noles : o O) o CD Samples rec'd intact^^ ) Custody seals intgcl?( Y N samples match I 0^ VOC Samples have zero headspace?! Y N(7^) Samples properly preserved? 1 Y N(^aV O

NYC-WTC_000197673