Chain of custody form header, DEP Bureau of Air Noise

NYC 9/11 Public Portal Document

l^Y-10-2002 16:26 P. 10/13 -hi Ah p«66 j..of L

. ■VVWOMMC.a/r.U. JV#.r*«S53tati.W!Wi3^^ MyC (OOO3 , I : SULX SAaMFLE DATAzAM CHAJDSUZlEimSTPW FO-R^ X • L---------- py----------- i S 7 j 4?u PROJECT INFOR MATJON - 2. Pfoieci Name; 1 die •J. Project a: J-, Projaci Manager: 1 PH 23.?rQ|eciAgCfBsa! {1$ .A PH 4a. Investigator f

9 Cate: S. gliding Name: 3. TumarouncJ Time 9. Comments frielai □ stat U, »4 riftS 'J 72 rIfiS vijw O 3 HRS G A0 HRS Z NORMAL

BULK SAMPLE LOCATION 10. It. 12 13. i4. IS. IS. Homogsflous awk Sample Maisnat Fhermal SainpiB Uccaaon Matanal Asoesiog Area ID No System Content ‘Io, Pwr Samsie Caorerares ■“vpa i "oj

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CHAIN OF CUSTODY f S -I '^- TTp i 123 Meihud I 17. Relinquished Sy IS. Oats l3.Tma ■ 20 RscavssSy i-ma ! :----------1 □I SuhmiiTg! j SEJ) [ 111 l^hil (■ .-yYK - Al WAUK :N II i US MAIL 1 J F=i3-< i (11 f OTHEA

LAB INFORMATION___________________________ 24. Name and Sinnaturo ______________ j 42 Oats i23. “mej 27 C.xnmenTS’IgDi 24a. Analvzec Sv: J j^-7rr> / ^1 24b. Anaiyzeg $v i3 Xt i 24C. CC ,?v: I

NYC-WTC_000155931