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DIOXIN WIPE SAMPLE DATA AND CHAIN OF CUSTODY FORM
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Naw York City Law Department 100 Church St. 6-66ce 1 of
Date: Requested Turnaround Time: TRC Project Manager;
NITIN DAVE
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CELL PHONE: 017-649-3302
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WIPE SAMPLE INFORMATION
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SPECIAL INSTRUCTIONS TO LABORATORY h-
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Fax Results To (Name) NITIN DAVE at (Number) 212-349-4348 cn
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CHAIN OF CUSTODY DOCUMENTATION AND LABORATORY INFORMATION 'J
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