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Chain of custody form for asbestos samples, Oct 2002

Machine-extracted title · confidence 90%

Documentation form tracking the collection and transfer of air samples for asbestos analysis at a specified location.

NYC-WTC_000094395

Folder label: “24 JOHN STREET 1001105, 65/24

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Scanned page image, NYC-WTC_000094395
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

22e East 45th Street WARREN & PANZER ENGINEERS, P. C. PAGE ` OF i Kew York, r1Y 10017 (212) 022•oW7 AIR G LOG SIIEKFICIIAIN-OF-CUS'['ODY FORM Fax (212) 982-0830 2 hr+fa b hr+la • 3 hr+/a Iaamedlate la W&P FILE #: — Of 0' -' CLIENT: (?c ,)GI LABORATORY: &1-1 CONTACT: /fll N 0LN PROJECT rJ ANALYSIS METHOD: TEM LOCATION: !? ST /' c circle on PCMZEPALEVMII 7 00 0 TGf'tU11(PAM fl 'fl) £f

SAMPLE ,-::: =: _. .:•: ..:: .;:: SAMPLE ° °. .., SAMPLE PUMP .: . -FLOWRAT>: °: . : ::TIME _ :: TGTAL VOLUME CONCENTR. NUMBER.' ___ _ DE$GRIPTONI' OCATIOd.: .--TYPE ` , : fI::. : ': START :: TOP :: ONL :OFF -`.'TIME ; '(IDtera) : , (fiit.Icc.} 01 i' e) r Z 2 . Cr L iet,a. 1zi4 JilL -tzo ~tl c ' . t ,~) P 6 '.' ~ , ie- .,- ., 3 ! 2.L3 u ~$

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COMMENTS: (O — 1 TO 2— O SAMPLE BY:J)/f2b t, DATE:///V 2 SIGNATURE: I m SAM 'YRC• is ~ ~.l! _ ~. ( ~i'"a•~' 1 -

RELEASED BY: DATE:1t as i Blan 5- Pinal Clearance ('ns ) 0 C.' SIGNATURE: _1 2- Pre-Abatement S - Final Cleared (outside) 0 RECEIVED BY: T — DATE: C - During Abatement 7- Personal 0 r. SIGNATURE: 4- During Glove Removal 8 -Background

NYC-WTC 000094395

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NYC-WTC_000094395Source: NYC Law Department, mirrored locally

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