NYC-WTC_000202078

NYC 9/11 Public Portal Document ■HM T1 Chain of Custody Reeord Sampfe Container /nformation ID CT n 4418 Pottsville Pike Reading, PA 19605 Bottle Type _ji phone; (610! 921-8833 fax: 1610) 921-9667 ru ANALYTICAL .SERVICES ( G P IH 1 # of Containers O jPOif w Preserved? (Y/N) C=:> Nafna □ co _____ __ _________ Report Company a Results Mailing Addreas.^^^ Xwc.. 4>. . U To; /V/ ZIP /W/'O T tn Name Telephone # n D Dept. □ (U Invoice Mailing Address IX To: City State ZIP (+ ‘age .t 0 Credit Card it Exp. Date PAS Quote// U

Sampled by. W^Ct\> T SAMPLE DESCRIPTION Air Vol. (L Matrix nr min) D.itc Time Type .Sampled Sampled F (Z) Q Commenfs/Hazards/ Location Uetail.s < t S LiiuA. €?iv iMi 0 2 ni w 3 4 5 tn 6 □ to 7 w to 5 03. I C3 9

10 o Special Instructions (including Data Deliverables and Turn Around Time); H k: 1 Samples relinquished to Date . Time Samples Relinquished by; Samples ReSinquished to: I Date I Time

ss to s (?) shipper or courier by: Samples received by; J Date I Time Samples Relinquished by; . Samples Relinquished to I Laboratory: o Metho”'of Shipment/Delivery; TT'^ ^feP-fi^^PAS Courier Client drop oft' OtKer .... . TJ CO o Samples Rec'd. on Ice? ( Y (^n/a) Temp. Blank Sample Temp. " C. Notes : (JI GJ CO Samples rec'd intact?^N ) Custody seals intact?( Y N IT on samples match CCLTiTT | O vpc Sa^mples'have zero headspace?] Y N ' Samples properly preserved? ( Y N fn/) | C7\

NYC-WTC_000202080