NYC-WTC_000177251
Chain of custody document for Microvac samples collected from 100 Church Street by the Law Department.
1 shared non-person entities · 1 shared topics · similarity 0.864
machine-extracted · confidence unavailable · Check page ↗Document / 1 page
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_000177252Page image
OCR text
OCR status: ok · source: pdftotext
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o MICROVAC SAMPLE DATA AND CHAIN 111 sTODY F^RM CL| bl s o o CHenl TRC Field Represenlalive: f age
I Project Name & Address; New York City Law Department 100 Church St ro tn of I I Dale. Requested Turnaround Time: TRC Project Manager: 1RC Project No. NITIN DAVE 12 hrs. OFRCE PHaNE: 212-563-3933 ' 5052-0000-00000 . 03/02/ ~~~~~ 4« CELL PHONE: 917-549-3382 Ay/
WIPE SAMPLE INFORMATION
Sample Number. ^.x»“O2OZ. Surface Description. Area Sampled Ceiitimelcrs Total f^ea (Square CM) Floor Sample Location
Ri om/Area Dascription I 100 SCM O o 2 -AdYOTeJ / 7^ sm •2-4)-03 OS- 10 X___ 10_ 100 SCM 2 -1 > Arf kZ O T O g, /AZO*vX 10 X___ 10_ 7-^ CO 100 SCM c CD 10 X___ 10_ m 100 SCM
o 10 X___ 10_ J 3m 100 SCM ^203 1 22-2 10 X O
m 10 x__ 10_ O 100 SCM JI a m JI JO x___ 10_ z 100 SCM p N 10 X___ 10_ CO m 100 SCM
<»8 - ■■■ ___________________________________________________________________________________________________________________________________________________________________________________________________
SPECIAL INSTRUCTIONS TO LABORATORY Fax Results To (Name) NtTIN DAVE at (Number) 212-349-4648
CHAIN OF CUSTODY DOCUMENTATION AND LABORATORY INFORMATION Relinquished By Date Time Received By Dale / Time Method of Submittal Comments (Labi I. Field SciLab Analyze TEM AIITM 5755 Vl Welkin O II. US Mall U Name and Signature; Date Time Fed-Ex □ Analyzed By;
o III. OiiTer~ n Analyzed By; QC By: 8 'o
O) O1 00 th O) 03
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NYC-WTC_000177252Source: NYC Law Department, mirrored locally
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- 100 Church Street · 1 pages · confidence 0.00 · verify page 1
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