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Microvac sample chain of custody form

Machine-extracted title · confidence 85%

Chain of custody document for Microvac samples collected from 100 Church Street by the Law Department.

NYC-WTC_000177246
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Scanned page image, NYC-WTC_000177246
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

me Cllant New York City Law Dapartment 100 Church St. MICROVAC SAMPLE DATA AND CHAIN OF CUSTODY FORM Protect Nam &Addr»si TRC Flett Representstive; iPaoa n th

I o5S ci of TuiruraundTTme: IRCProjeciManapar ty TRCProJactNo, 3/2 ?/o^ WTINDAVE OFFICE PHONE; 212.S83<»33 CELL PHONE; «17«av33S2 I I WIPE SAMPLE INFORMATION I Area Sainpted CeotiJnelew Sample Location Samoia Number, Total Area Suftaca Description, (Square CM) CD <7S- ~ Floor __________ RwitfArea OascrIpUon______ -j- O 2 VZac o( •13-’'—’O— 1O0SCM 22 s p Q. 0)^^ , Ltvjr j —13_x__ io_ 55^ 2 t/z^c - gip o t 1WSCM Gr^77jEV«S“. " Ccgveig 0/ Ce, Ti /<) co Ik-X__ W_ c 5 100 SCM Q m ttSK -t —llLx__ IO_ 3 too SCM J) o __ W__ 100 SCM 3 —Ifi_x__ 10_ 100 SCM

o m O JJ —Ifl-X__ 1«!_ ^2041002 m 100 SCM u z p _ia_x__ ,io_ N CO m 5 -Jfi-x__ 10__ 100 SCM

100 SCM r\:i

§ SKeclAL insthuctions to laboratory 1 Fax Results To (Name) NITIN PAVE at (Number! 212^4aMfl4e Si CHAIR OF CUSTODY DOCUMENTATION AMP LABORATORY n I ReUnqulgtied a/ ( bate I Thw I Recatawl By I Sul Comnienb(Lab)

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NYC-WTC_000177246Source: NYC Law Department, mirrored locally

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