NYC-WTC_000228412

NYC 9/11 Public Portal Document

FSC 4418 Pottsville Pike Chain of Custody Record Reading, PA 19605 Bottle Type ”27 Sampfe Container information T

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Credit Card t Exp, Date PAS Quote// n IV Sampled by: JtZZlL_ Air Vol. (L Mairis Ifelc Time SAMPLE DESCRIPTION ormtn) Type Sampled Sampled y<^omnienls/llazards/ Location Details in It

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I o o shipper or courier by: I o Samples received by: y I Date ) Tillie Samples ReHnqiiishcd by: co Jia hO Method of Shipment/DBHvery: TPS C PAS’Courier Clienl drop off Ollier ' Y TJ Samples Rec'd. on Ice? ( Y Temp. Blank _____ Sarnpla Temp._____ — Nolts : Ji^ ro Samples rec'd intacti^^^^ Custody seals mlact?( Y HT on samples match Co2CY^ I If VOC Samples have^ro headspace? | Y Samples properly preserved? ( Y N(n/aJ

N YC-WTC_000228412