NYC-WTC_000202078

NYC 9/11 Public Portal Document

PSC 4418 Pottsville Pike Chain of Custody Record Reading, PA 19605 P” Bottle Type _ t Sampfe Container /nformat/on ■n CT

s: •’C.sn.St-rrs.L r --.r-r-t^.-i,. ; phone: 1610) 921-8833 fax: (610) 921-9667 1 ! G P !H I ‘-Y ANALYTICAL SERVtCKS □ # of Containers IpO it M Preserved? (Y/N) EZ^ O ‘Nams (b'VlYT (D Report Company O A Results W To: York "□ _!__lLL-2££txZ££: m n Name

Send Company Telephone#

Dept. /F / a 3 ffl Invoice Mailing Address a To; City State ZIP c+ !6 - A - - 11 H- 0 Credit Card # Exp. Dats PAS Quote# 01

SampiBd by: C j AirVoi.(l Matrin Date Time U) SAMPLE DESCRIPTION Type Sanipleil Sampled (D Coinmcnls/IIazards/Locaiion Details 3 l/ivaj rT\ ’ " < I at’r n 2 iZ I® _ w 3

4 4-rc-gU5^y(K-54^ 5 4rc,oT£S.g%K-5.£ cn w 6 □ CD 7 A7x-<?{zy> gR H-57 eltia l!^-.v Acjt SuvxA _________ re ijjh 1 to 8 Z££. cn m 9 l4re- H-J'? cGvyl 10 jg/rtiwA 47^' 5'erUA * * O H Special Instructions (including Data Deliverables and Turn Around Time); A Kt I ISamplcs Relinquished by: Samples Reiinquistied to; Date Time Date Time M

S n Samples relinquished to shipper or courier bv: V / 1 Samples received by; Date Time iSamples Relinquished by: , Samples Relinquished to Paid Time o 1° l I ! ____________ I Laboratory: Method Of Ship menMDeliveiy; UPS ' ^^ED-EX^ PAS Courier Client drop oft' Other TJ Cn Samples Rec’d. on Ice? ( Y(^n/a) Temp. Blank Sample Temp. —- Noles : tri Samples rec'd intact?(Qn ) Custodv seals intact?! Y N ilTon samples match CO^^'n )

cn VOC Samples have zero headspace?! Y N |@) Samples properly preserved? ! Y Nrn/^ ) o

NYC-WTC_000202079