NYC Law Department release
Independent mirror · updated as the City releases more · v1.3.2
☕ Buy me a coffee
← Document results/Unboxed/No folder label
Document / 1 page

Chain-of-custody form for analytical request, Mar 2002

Machine-extracted title · confidence 90%

Legal chain-of-custody document used to track the handling and transfer of samples submitted for analytical testing by ATC Associates.

NYC-WTC_000177796
Page image
Scanned page image, NYC-WTC_000177796
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

CnMii1-OF-k>u3TOijT / Analytical Request Documem /^/^ceAnalyticar 1700 Elm St.. Suite 200 The Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately Minneapolis, MN 55414 ' Y/yV CZkW (612) 607-1700 [Page^|of I / ^Required Client information: Section A Required Client Informalion: Section B Client Information (Check quote/coniract): To Be Compipted by Pace Analytical Client: Section C Company: Report To: "T /Y \ 'Requested Due Date Quote Reference AT<O AssocCxfe ^Cv\aA4£>) Co Vvvk Address; Copy To •TAT. Project Manager; \oir £ Invoice To

Phone: /a fL. (Fax: P O. • Turn around times less than 14 days subject

laboratory and cor^traclual obtigatior^s and may 1222ilS2£22)3 Profile ft. 4J_ Project Name 557- O py in a Rush lumaround Surctiaige

Project Number: Turn Around Time (TAT) in calender days

co Required Client Information; SoCtion D Valk) Matrix Codes Preservatives Requested Analysis G CO G sr Q ID Q ID

I cr M LD CQ 01} & U ID lU £IV O H 5 D SAMPLE ID (One charater per box.) Wl>># o £ ?0) o c X z u 5 s ? f'l <15

gT g £5 2 Tt«-SL« ID g O (O X. H 5 D W O ID Crthaj g (J Z) CN 5 fl REMARKS I Lab ID G 50 O Aic i i / i ■£|H iO 1 I S:-:; I J ioJl .;;iLs t y y 33 ' '3 ! A rc i »: H o f - gigs I VK 2 1/ 0 Af 1^1 251 M O o o El I I i 15 r» ■ 1 ■ M J i 3 ig II o i:6i* B W $S3:

I» H

M 3 3 i II 3:3 gi gg; i II a i a J II I iII ■ H I ii u Mg O go s ii i 11 II ■B a H 33: M V > i # gg? gg? 133 gs 11 ■ II sg ggg :igg 1 3 O ii ggg 9 ■ II P a H kS

■ I Wi o ggs

i ■ to jsg igg g® gg; gg 9 III sg ■ a i ■ II CO M G ■ 9 9 9 H a a ■ 9 9 11 gg;

O SHIPMENT METHOD AIRBILL NO. SHIPPING DATE NO. OF COOLERS RELINQUISHED BY / AFFILIATION ACCEPTED BY / AFF;lIAT.GN DATE TIME O CO o /ilia SAMPLE CONDITION: SAMPLE NOTES; H 3 I Temp in C .16 Received on Ice

Sealed Cooler SAMPLER NAME AND SIGNATURE o o PRINT Name of SAMPLER: I o Sample Intact SIGNATURE of SAMPLER (1^4 Sm |DATE Signed: o Additional Comments; co y cn

NYC-WTC_000177796

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000177796Source: NYC Law Department, mirrored locally

Related records

Browse subjects →

Ranked by indexed similarity. Reasons describe shared subjects and filing context; check the source records.

Same-box records

Filed elsewhere

No available related records indexed in this group.

More like this page

Similar subjects in other documents. Similarity does not establish the same event, measurement or conclusion.

Others also read

Readers open these alongside this record — through an Ask answer, the same folder, or indexed similarity. Not a claim they are about the same event.

NYC-WTC_000177715

Legal chain-of-custody document for environmental samples submitted to PSC Analytical Services.

Similar indexed content

Compare copies and versions →