NYC 9/11 Public Portal Document
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Date:_Q//5/0/_____ New York City Department of Environmental Protection
Kensico Laboratory
DayS// General Chain of Custody Form &
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# OF BOTTLES COLLECTED
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1
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0
■
11623883355312 ••
■I gif ill Eg 21
Miil BIB 21 —ie di
1s ‘sP : 85180 syl
ins
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SITE LOG NUMBER TIME 7 18 1 1 ■J I 1 3 F is 38
ti
CAflA 6S79 /S2S I
50 /430 /
L 7 L L 12 Li
‘3301
65s7 /
L L
A
coc* mb (SS2 /3/S / QOy",
eroimpl”
IPWRYT
CroGfnB 2s90
6&m (&3
iks.AlMay S5% A38 A ! com.
De1S(3
Tritu__ 6553 /30 L
“4%&A—
”65o6
D4%,m%u /%30
257,0
(omnbo.
GrCAf 6537 Mo L =2
5‘ fir-90 i
C2MBASS%
CArFD
/525 L /3PP
6337 (ownb0.
277“5*ian. 6560 /503
3fronHun-qo
COMMENTS: PosBBU rt les Bcece •
Relinquished by: Sample #s: , Date/Time
RECEIVEDBY CHEMISTRY: ll (/oi
1030 RECEIVED BY MICRO:
S RECEIVED BY INSTRUMENTS:
Z.4&e€g° %7 2- a • -
(Date/Time)
/9ls/o/0(De:8/Tume) RECEIVED BY INSTRUMENTS (Date’T.me)
Relinquished by: Sample is: Date/Time RECEIVED BY-eH4EMMY: RECEIVED BY MICRO:
/) - A y
33 Gut
R--/cc
3 S20
AoMBureso
C £ 272 bke l-q/7//21%0 (Date/Time) (Date/Time) (Date/T me)
Re shed by: Sample #s: Date/Time RECEIVED BY CHEMISTRY; RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:
r
(Date/Time) (Date/Time) (Date Time)
*"All samples collected, preserved, and transported according to Division SOP guidelines.
NYC-WTC_000025641
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