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Document / 4 pages

Chain of custody form for air monitoring data

Machine-extracted title · confidence 85%

Blank chain of custody form used to document the collection and transport of air monitoring samples for environmental testing.

NYC-WTC_000174167–000174170
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Scanned page image, NYC-WTC_000174168
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

00 7 AIR MONITORING DATA Page o, o TURNAROUND TIME <3 AND AtSOCIAlIJ INC □ 2 IMS L)6h»s 048 hrs OSlendard CHAIN OF CUSTODY FORM O4hlS 024 Ims l |72hrs OOUiei project INFQRMATJON -'l.Clieni - ' 4c Aolainelai Wim^ a ^3 t p 7 Piujwl Name is^OjOfe-OQQil «.!«<,«»» fc,L^>^c,„ov;Zt 2a PmjeclAd*«sj24' f a/V .zjfc.-y HR jl JI 5 D^: Jg Abaleratai iocabon: . l.fflPGMtainkm.ucq • O ffl®-« nfcmii MCE> 9 7yp«: c. 1J Abnlement 1. □ Environ m-erilal Cis5tf<»nth’VjT/ittjr»______ iOBackgiound d. I J Po'il-Atiflte g. □ Aint?(fliA ^7^2SBworzz LU*____________________ b n Pie-Abalu e.yOSHA brother C £ C1?^ , I i' DAILY AtR SAMPLE RECORD 10 11 12. Same’s LocaSon 13 Tb»c p4 ins Gluck) 15. ” IB. ' 17. SampJo 1.0. Pump Talal Ab Vul. * Fibeis/Fields ribniOonc TZCC Kemtier Number 12a. 12*. 17c. Sample CooHbnate iaaTSterT' ISb^EntnifacW 14a. SUft 14b Fad I4b. MkHKOank IWA OWA I 'i FirfW Bhrtk

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HAIN OF CUSTODY LAB rNFORJVIATIOR (ATC ELAP # 10879. ATC NVLAP # 1107) mS. Rerw^nisliedBy: 19, Received By: 23.0atc: 24. Time: 25 Micm^ M*57Seilal k: ?0 Dale: 21. lime: 22 Lab Name: 6^^ C t?VUj«W<.j0 u' 7 C rMiil I wS e«*«- a. Analyzed By: I). PC fly. ONibon Labophol 238917 ----------- oH CO___________________ _ ________________ CM_____________ _______________ ____________ ATC PiojerT Wanager; c. Lab Baldi#: Z^2Z Cl Nikon LaboplMX 239079 Analysis FAeIbKkilogy' 24 Comments. 27. Result To: ^'~mr54ieSH740Sts, o /2> S a r Beepa/Pfiuneirs_________________________________ 1EM AHERA

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NYC-WTC_000174168

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NYC-WTC_000174168Source: NYC Law Department, mirrored locally

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