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Lead wipe chain of custody form, Mar 2003

Machine-extracted title · confidence 90%

Chain of custody documentation for lead wipe samples collected at 100 Church Street in March 2003.

NYC-WTC_000174645
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Scanned page image, NYC-WTC_000174645
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

P—MBBsaa— I ■ —— s? I LEAD WIPE SAMPLE DATA AND CHAIN OF CUSTODY Fl « S?

TRC Project Name & Address; TRC Field Representative; Zibby Dolinski Page;

lofl Cllanl New York City Law Department 100 Church St. IRC PfojecI No: Requested Turnaround Time; ~ TRC Project Manager:

Dale: NITIN DAVE OFFICE PHONE; (212) 2Z1-78Z2 35052-0000-00017 03/29/03 12 Hrs CELLPHONE: (917) 549-3382

WIPE SAMPLE INFORMATION Sample Location

Total Area Room/Area Descnpllqn Area Sampled Floor _ Inches (Sqin) Surface Descriplion.________ Sample Number. 144 20“" Floor J t Vt5=Ar7Zi4-4- 12X 12 ZD03Z903LW2001 144 20”' Floor 12X 12 I ZD032903LW2002 ro-p c 144 ■ 20*^ Floor fJoff I -t j-u 12X 12 I ZD032903LW2003 S i _ ZD032903LW2O04 Field Blank. ___________________________________________________ t\5_______ _ lO

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i SPEClTTlNSTRUCTiONS TO LABORATORY al (Number) (2121 221-7340 Fax Results To (Name) NITIN PAVE o 1 Awnn ATORY INEORMATjON—. Coinmente (Lab) __£>e» CHAIN OF CUSTOPYOOCOMENTj^I^^ Method ol Subrnillnl H ----------------- - Dale ^^me hC Relinquished By Date lime Field ----- 1 EPA METHOD 3050/7420 'rol V/alk In I Analysis tor Lead only _ 03/29/03 Time 5 o I. Zibby Dolinski. II. TJST^

“Fed-Ex O Name ant) Sipnalure;

Analyzed By; Dale

151^ I o o “OtbeT” rr Analyzed By; OC By ' ~ FJ III. (JI ai co FJ co ’ co

NYC-WTC_000174645

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NYC-WTC_000174645Source: NYC Law Department, mirrored locally

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