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← Document results/DEP Box 33/69 MURRAY STREET Block: 132 Lot: 3 BIN: 1001420
Document / 12 pages

Chain of custody form for ambient asbestos air sampling at

Machine-extracted title · confidence 95%

Form documenting the collection and chain of custody for ambient asbestos air samples taken on October 20, 2001.

NYC-WTC_000097883–000097894

Folder label: “69 MURRAY STREET Block: 132 Lot: 3 BIN: 1001420”

Page image
Scanned page image, NYC-WTC_000097887
OCR text

OCR status: ocr · source: ours

NYC-WTC 000097887 JCB CHAIN OF CUSTODY DOCUMENT Expected Date of Completion J.C. Broderick & Associates Bill To: J.C. Broderick & Associates 101•4 Colin Drive, Holbrook, NY 11741 Accounts Payable 0106667 Laboratory: 631-419-0913 • Fax: 631-584-3395 101•4 Colin Drive, Holbrook, NY 11741 Project Name: 69 Murray st Project Manager Karin kortlang Sampler (Signature): Sosf Project Location: 69 Murrayst. Samplers Name (Print): Boris, vestfrid Client Name: Embrant Project Number O6HR V12 HR •24 HR •48 HR [72 HR [4 DAY []5 DAY [6-10 DAY SAMPLE INFO Project Phase Pibats *A=Air B=Bulk W=Water I=Wipe «-Time (min.)→ +L/min→ Liters Analysis Analysis Date Sample ID Date Type Sample Location / Description Lab # Start | Finish | Total Start |Finish Volume| Method 10/20/01 TEM inside the Muster bedroom... 18:00/2010/130 MDL J s/mm [s/cc io 10|1300 inthe hall way betwen bithim+ 1801/2011/130 10 10|1300 mpartrent TEM in the hall way by the Ewtramento 1802/2012/130 10 101300 BIAWk 10 11 12 13 14 15 Relingusget by Slonatur: Retinquished by (Signature): Comments & Special Instructions Fax Results to 631-584-3395 ... Date 2 - Time Date Time Printed Name & Agent: Printed Name & Agent: Relinquished by (Signature): Received for Lab by (Signature): White - Laboratory Yellow - Office Pink - Field Date Printed Name & Agent: Time Date Printed Name & Agent: Tmspa OCT & U 2001 iBY:GB 915pm. NYC 9/11 Public Portal Document

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NYC-WTC_000097887Source: NYC Law Department, mirrored locally

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