NYC-WTC_000202189

NYC 9/11 Public Portal Document

T] Chain of Custody Record Samp/e Container information ID O’

4418 Pottsville Pike Reading, PA 19605 " Bottle Type ZT f I I I I 1 1 □ tor: t>r-*=.7«arfW'«iu-=e-’-awan«?v^ swa phone; (610) 921-8833 fax: (610) 921-9667 ( G P IH ) I—Y ANALYTICAL SERVICES of Containers o IpOj! ===========^^ w Preserved? (Y/N) Nams o ~\cx-V^gZ) CcpVyn ______ (jj Report Company GJ Av C, (Cs 1 (5 O tvAi lA r cn Results "0 To:

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Name Telephone# n Company Dept. 3 Send ------ 3 Cu Invoice Mailing Address ZcT> cc To: City 4^ Z|Page I -Of-' State ZIP t+ M- Credit Csrd S Exp. Date 0 PAS Quote# fli

Sampled by: VeyAAOj: Air Vol. (L Matrix hate Time CO SAMPLE DESCRIPTION WaiB) Type Sampled Sampled fD Comments/Hazards/ Location Details n 1 _ VOC, il t'r fj f' .Z //r<z A-y < o 2 Z^Td-oIX^- ViK-'VA _J__ iZ ra w 3 /yrc-o\X^, d'TAt-vr.Cj /Xo ^ef 0 4 g-(P- bZT /Xo ■/

5 4'70-01^5- g'’( Y- I/O c.J , ^lank 1/ 6 a to 7 rd

8 CD m 9 CT) -J o 10 H H Special Instructions (including Data Deliverables and Turn Around Time): to

s O Samples relinquished to Date Time Samples Relinquished by: I Samples Relinquished to: I Date I Time Shipper or courier bv: o Samples received by: I Date I . Time Samples Relinquished by: Samples Relinquished to 1^ I Laboraton: _uX___aA co Method of Shipraent/Delivery; UFS PAS Courier Client drop off Other TJ

-J Samples Rec'd. on Ice? ( Y n/a) Temp. Blank ~~ Sample Temp. ' - Notes ; rd CO Samples rec'd intact?0'N ) Custody seals intact?! Y N r©) iF on samples match C0C?(®N ) VOC Samples have zero headspace?! Y N ) Samples properly preserved? ( Y N

NYC-WTC_000202190