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← Document results/DEP Box 31/125 CEDAR 1 OF 2
Document / 15 pages

Chain of custody form header, DEP Bureau of Air Noise

Machine-extracted title · confidence 85%

Header page of a chain of custody document from the DEP Bureau of Air, Noise, and related services.

NYC-WTC_000155920–000155934

Folder label: “125 CEDAR 1 OF 2”

Page image
Scanned page image, NYC-WTC_000155928
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document P.07/13 MAY-10-2002 16:24

ATC ASSOCIATES INC. environmental geotechnical and materials professionals

Chain of Custody I Client Name Address PH Location ATC Client# ATCJob# 125 CEDAR STREET, Pll i CASH Samples Numbers Number of Samples 01 - 03 Is Samples Collected By Date Collected Client 11/19/01 Type of Sample (circle one) Air Sample Sulk Sample Water Sample Other Type of Analyses Requested (circle one) TEM PCM AA-Flame AA-Furnace Other Turnaround Time (Please ensure laboratory can accommodate the request before sending: circle one) 2 hr, 4 hr. 6 hr. 12 hr. 24 hr. 48 hr. 72 hr. 3-5 days 5-10 dayg Other Transmittal of Results □ Standard Report Turnaround (5-7 working days) n Plegss Telephone results to Telephone # by on (Time) (Date) □ Please Fax results to Fax#_________ _ by on (Time) (Date) □ Additional instructions

Batch # 3309

Sample Integrity (To be filled out by laboratory only) Number of Samples 3. Condition of Samples ® Accept □ Raject

. Lab Comments

Relinquished By Received By Time Date Reason for Change of Custody Client iwL " 11/19/01

Additional Comments

NYC-WTC_000155928

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000155928Source: NYC Law Department, mirrored locally

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