NYC 9/11 Public Portal Document
Date: /0 -Z0 / New York City Department of Environmental Protection
. Kensico Laboratory
DaVL General Chain of Custody Form
# OF BOTTLES COLLECTED
" *****5**,***
....... 66.
( itjlli
w 99 — I *
& ’
■ mm 559100
- 5 * — i
SITE ILUNNUMDEH
LOG NUMBER TIME
LIME
TIME lithsts
i -19 y
P- [- 0 •,* . njutefstutafa*
%
0******
CATLEFA 2M I 3 0755 4 /
1
/0 40 £
L
<-8,
*2.
5*
M
—tr
"uavii
..... 2
I 673
(
i
COMMENTS
Date/Time RECEIVED BYOHEWe===erSp ReCEIEUBYMICI /O-22-0! RECEWEODrjsfomen @ /.
A Leezze 277=*4
Y27"12o/ (2 "—
‘/_2/C2______ (DatefTime)
/09
“(DateTime) >/ o /
200
(Date/Time)
RECEIYRD BYCHEHSTR (. C, Dp A
7”,. Date/Time RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:
(000 0y 40/46/
3/5/) / ©D Cess < k, (Date/Time) (Date/Time)
by: Sample #s: Date/Time RECEIVED BY CHEMISTRY: RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:
Relin
(DateTime) (DateTime) (Date/Time) 1
-All samples collected, preserved, and transported according to Division SOP guidelines.
NYC-WTC_000027166
OCR can misread numbers and units. Confirm readings against the page image before using them.