NYC-WTC_000228282

NYC 9/11 Public Portal Document

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o CD ro 1 CO I cn tn <1 a ) H 0 K I pecinl Instructions (Including Data Deliverables and Tom Around Time): lo I—i S a Samples relinquished to D«te j Time Samplci Reiinquiihcd by: Samples Relinquished to: Date Time I I—i o o shipper or courier by: 1 Samples received by; Date Time Samples Relinquished by; o o I........ I I u CO lethod of Shipment/Delivery: TTPS PAS’Courier ClTciit drop off Other ro <0 Samples Rec'd. t -Ice? ( Y N Temp. Blank__ ______ Sample Temp,_______ Nota : o Samples rec’d intac^ co I Custody seals int^?( Y N ID on samples match CO' VOC Samples tw zero head space 7 ( Y N <3^-4 Samples properly preserved? ( Y N/ I

NYC-WTC_000228282