NYC 9/11 Public Portal Document
Date:. 4/20/ . New York City Department of Environmental Protection
Kensico Laboratory
Day: echevda/ Keypoint Chain of Custody Form
# OF BOTTLES COLLECTED
is Ph9 .2£a II 8t 68 fi
9 f
&X f2 6 1 XE2 fi9 E & O s tno 88 $< ii
& S
SITE LOG NUMBER TIME
Oa
• • 2,.
14 Q. . C E
2 to
a E 2. m E
a. u
C 8
si
CATLEFF 630/ 6737 1 1 1
DEL18 6302 -0822 1 1 /
CATEV 460323727003 L
DEL19 094’1420017 1
DEL170 +6 46971109
L
CATALUM 042g3/042 (
CROGH
CROGHC
CRO1T
CRO1B
CROGH1
CRO9 4399 0Q0Q 1
RO18Q
B&%—
/)0r 640 / /202 ) )
HgDUP
HgMB
PCBDUP
PCBMB
COMMENTS:
Relinquish ad by: Sample «s: Date/Time RECEIVED BY CHEMISTRY: RECEIVED BY MICRO: 7/2-0/ RECEIVED BY INSTRUMENTS:
2/2/0/
3/c£214%% QAzf
/ Y5 (Date/Time)
2m
(Date/Time) (Date/Time)
Ri
) Sample is:) (“ODterrime ,
1/6372- 0-/2-0,’
RECEIVED BY CHEMISTRY:
131 MECEIVED BX MICRO: 11- 0]
D I (Datemme)
RECEIVED BY INSTRUMENTS:
LA 6340 1^00 I/n /olatarina (Date/Time)
Reline Sample Ns: Date/Time 'RECEIVED BY CHEMISTRY: RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:
(Date/Time) (Date/Time) (Date/Time)
“All samples collected, preserved, and transported according to Division SOP guidelines.
NYC-WTC_000025781
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