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Chain of custody form, 125 Cedar Street, May 2002

Machine-extracted title · confidence 95%

Chain of custody form dated May 10, 2002, documenting the collection and transfer of bulk asbestos samples from 125 Cedar Street.

NYC-WTC_000108091–000108097

Folder label: “0076-0100

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Scanned page image, NYC-WTC_000108091
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

MAY-10-2002 16 24 P. 07/13

ATC ASSOCIATES INC. ENVIRONMENTAL GEOTECHNICAL AND MATERIALS PROFESSIONALS

Chain of Custody Address PII Location ATC Client # ATC Job # 125 CEDAR STREET; Pil CASH Samples Numbers Number of Samples 01-03 3 Samples Collected ey Date Collected 11/19/01 Type of Sample (circle Air Sample Bulk Sample Water Sample Other Type of Analyses Requested (circle one)

TEM PLM PCM AA-Flame AA-Furnace Other Turnaround Time

(Please ensure

laboratory can accommodate the request before sending: Oirde one) 2 hr. 4 hr. 6 hr. 12 hr. 24 hr. 48 hr. 72 hr. 3-5 days 5-10 days Other transmittal of Results 0 Standard Report Turnaround (5-7 working days) 13 Please Telephone results to Telephone # - by on 0 (Tune) (Date) Please Fax results to Fax #____________________ by_ - on (lime) (Date) 0 Additional instructions

5itch#3309

Sample lntegrit, (To be filled out by laboratory only) Number of Samples 3 - Condition of Samples ® accept 0 Reject

Lab Comments

Relinquished Received By Time Date I Reason for Change of Custody Client ML 11/19lG1

Additional Comments

NYC-WTC 000108091

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NYC-WTC_000108091Source: NYC Law Department, mirrored locally

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