NYC 9/11 Public Portal Document
Date:. lo- (0- o), New York City Department of Environmental Protection
Kensico Laboratory
Day:. WeD. General Chain of Custody Form
# OF BOTTLES COLLECTED
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COMMENTS:
sEnavished-b Semple-#s: Date/Time RECEIVED BY@HEMeAY““F-52) RFCFIFD AY MICRO RECEIVED RY INSTRUMENTS*
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relinquished by. Sample »s: /) Daze/Time RECEIVED BYGHSMe*RY to 6 Bor RECEIVED BY MICRO: RECEIVED BY INSTRUMENTS:
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FAat ned by: Sample #s: DateTime RECEIVED BY CHEMISTRY: RECEIVED BY MICRO RECEIEO BY INSTRUMENTS:
(DateTime) (Datefime) (Date/Timre) ।
==========================——===============——-------------- == mo * — ------------------
•All samples collected, preserved, and transported according to Division SOP guidelines.
NYC-WTC_000027700
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