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NYC-WTC_000223517

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000223517
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NYC 9/11 Public Portal Document

Chain of Custody Record Sampfe Container information 4418 Pottsville Pike Reading, PA 19605 Bottle Type phone: 1610) 921-8833 fax: (6101'921-9667 ( G P IH > ,LYTICAL SERVICES ■ # of Containers I Ipo « Preserved? (Y/N) I i Report company Results To: ' I^SsoOxUO Jwc i i °‘v Y<i^k. S,... ^''looia i Name Telephone It

Send Company nvoice Mailing Address To: City State ZIP Psge I _ of Credit Card It Exp. Date PAS Quote# impled by: Air Vol. (L Matrix - Date Time WPLE DESCRIPTION or mln) Type Sampled Sampled ^Z^Comments/HazardV Location Details me- 3y-M -C^ - C( _sz \ Aoo*^* AOQvM ^ciR IH ( SotPtV Uieyf-J (_ |-e- <00 3e(?q C «A. » ? £ O cctoioorr C 1 ^(aix. K BLclaa k Mt Xt5<7»*^ II) f jobctu we^) 1/00^ )

- M3 fi^oa L ''J C.- 4^.5° acOceoorj ( ^orru} C- If30-^3 5 r 6 Lcmx, k Instructions (including Data Deliverables and Turn Around Time): n ________ 0 I /h Va t Ca pies relintiuished to^^ . . , Date Time Samples Relinquished by: Samples Relinquished to: I Date I Time CQ sper or courier by:I 7//oA>d I so nples received by: Date Time Samples Relinquished by: Samples Relinquished to I Date I Time I Laboratory: i° ofShipment/Deiivery: UPS Client drop oft' Other g Samples Rec'd. on Ice? ( Y N n/a) Temp. Blank Sample Temp. Notes : S nples rec’d intact?(Y N ) Custody seals intact?( Y N n/a ) ID on samples match C0C?( Y N ) S VOC Samples have zero headspace?! Y N n/a ) Samples properly preserved? I Y N n/a ) CO . •

NYC-WTC_000223517

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NYC-WTC_000223517Source: NYC Law Department, mirrored locally

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