NYC-WTC_000226959

NYC 9/11 Public Portal Document

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10 n Special Instructions (including Data Deliverables and Turn Around Time):

Samples Relinquished by: Dale |Time 1 I Samples relinquished to Samples Relinquished to: shipper or courier bv: o Samples received by: Date I Time Samples Relinquished by: Samples Rclinqmshcd to / y . Date Tinifi, I o I 1 Lahrtratory:i /'? /rVy—I 0 71/0 Method of Shipment/Deiivcry: UPS (FElO-liX..''^ PAS Courier Client drop off Other TI Notes : nwfm H jx Hl iHiAt' .ri« jjii ro Rec'd. on Ice? ( Y N Temp. Blank Sample Temp. Samples rec'd intac|^V^ ) Custody seals intact?! Y ID on samples match I

co VOC Samples have zero headspace?! Y Sam^s properly preserved? ! Y N<f?/a))

NYC-WTC_000226959