NYC-WTC_000226242

NYC 9/11 Public Portal Document

PSC B 4418 Pottsville Pike Chain of Custody Record Reading, PA 19605 BottieType Sampfe Container information 3 -0

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to phone: (610) 921-8833 fax: (610) 921-9667 ( G P IH ) ANALYTICAL SERVICES # of Containers □ PO # ro Preserved? (Y/N) [=> == □ Name LXjAzNJtzs Gb W vy_______ CO Report Company ro •A-Vc. MlOCialXn <1 Results Mailing Address tu To; T tn Name Telephone # n

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Date I Time

Time Samples Relinquished by:

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Time OpS / PAS CouriL I Laboratory: J ly-.?J<T I

J s Method of Shipmen t/Dclivcry: Samples Rec’d. on^lce? I Y Q^n/a) Samples rec'd intact?fcN ) Temp. Blank Custody seals intact?! Y N __ ) Client dropoff Other Sample Temp. — ID on samples match C0Ct^(y^ ) Notes: TJ 00

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: 1 NYC-WTC_000226242