NEW YORK CITY DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WATER SUPPLY, QUALITY AND PROTECTION
DISTRIBUTION LABORATORY - FIELD OPERATIONS
96-05 HORACE HARDING EXPRESSWAY, CORONA, N.Y. 11368
SAMPLING DATE: SAMPLE LOCATION: Bx 3 A BK5P
SAMPLE
LAB SAMPLING SAMPLING CONTAINER SAMPLE COLLECTOR’S
PRESERVATIVE TEMP (°C) COMMENTS
LOG ID POINT TIME VOL/TYPE QUANTITY INITIALS
(FIELD)
9/49/01 250y@ I
27879 8X3 0846 HMO, Hg
9/14
2.7880 8x58 896/
It 1
1
It
METHOD OF SHIPMENT/ SPECIAL INSTRUCTIONS :
RELINQUISHED BY: RECEIVED BY: DATE/TIME:
(4ko Uuavo—lluud.
—
RECEIVED BY:
9/3/200/ 68s---
RELINQUISHED BY: DATE/TIME:
Cuquud
RELINQUISHED BY: • ...
0.7/000
RECEIVED BY:
9//9/
DATE/TIME:
[/' / /G C40 9/4/5) //:/O
(D
NYC-WTC_000026104
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000026104Source: NYC Law Department, mirrored locally