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Document / 66 pages

Sample submission form, Aug 2001

Machine-extracted title · confidence 90%

Form used to submit environmental water samples to Westchester County Laboratories with chain of custody documentation.

NYC-WTC_000025775–000025840

Folder label: “22166 - 22171”

Page image
Scanned page image, NYC-WTC_000025786
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Date: 4/3) o l________ New York City Department of Environmental Protection Kensico Laboratory Day: Ikes 8&y____ General Chain of Custody Form —&— Ik House - S WC # OF BOTTLES COLLECTED

3 33 < . 3 0800 F g 8 1 “ :2 3 ■§ c to s kg S La O yj 3 9 2 S m §“ X “ S I t l < a. :*i St 2 s Re u bl r 7 9/98 SITE LOG NUMBER TIME CATLef 6tst 10c l I 1 DeL i 6AsS 30 0 I I 1 I 1 I ) CR6H 6491 ilos ) I i 1 CATitYF SRa2s ALA) AB (A0 SRo511 v M • 16 — + CATLEFF 91T IVM MS 64<3 ArLODP MFALs MAS 644 1

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6-@hkk Mg-Ato STror v C 0 2 4K6H. u ~MD 6461 &r - Metals Mo (4L2 DeL 10 (463 ISSo J

COMMENTS:

A 01 RECEIVED BY MICRO: r5 L4(3 Relinquished by: Sample #s: Date/Time RECEIVED BY CHEMISTRY: RECEIVED BY INSTRUMENTS: l4S1- 13 ol Ko6 RWJ 2454 81(Date0Time) (Date/Time) (Dares.me) RECEIVED BY.GHGMSTAJJe Cty Relinquished by: Sample #s: DaterTime RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:

3 w 60- 6443 Re led by: • 3-West, 41+ Campis is: 4 14 A13ol 121 o Date/Time Adart ( RECEIVED BYCHaMSRWAST, &ty. RECEIVED BY MICRO: (Date/Time)

RECEIVED BY INSTRUMENTS: (Date me)

is Battle TMtMstelc St sts ,-• . (Date/Time) (Date/Time) (Dare/Time) 1

"All samples collected, preserved, and transported according to Division SOP guidelines.

NYC-WTC_000025786

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NYC-WTC_000025786Source: NYC Law Department, mirrored locally

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