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Potable water sampling chain of custody header, Jan 2002

Machine-extracted title · confidence 85%

Header page of a chain of custody form for potable water sampling conducted by ATC Associates for the Board of Education.

NYC-WTC_000179443
Page image
Scanned page image, NYC-WTC_000179443
OCR text

OCR status: ok · source: pdftotext

ATC ASSOCIATES INC. PAGE / OF / ■<

Z o POTABLE WATER SAMPLING - CHAIN OF CUSTODY co o TOTAL # OF SAMPLES 104 EAST 25TH STREET, lOTH FLOOR g -1 NEW YORK, NEW YORK 10010 “0 c PHONE 212-353-8280 FAX 212-353-8306 CT o o' o "0 o Zlicnt Name: NYC Board of Education Project No-. 41617-0563 o Date; l/qX^^ CD 9L JS- ’rojcct Address: H.S. of Economics & Finance (M833) /100 Trinity Place, NY, NY 10006 Turnaround Time; Rush O o Andreas o o c nvestigator: Yiannis Efstatliiou Project Manager: Andreou Analysis Required: Fe in H2O only 3 ■ ■■ ~ - I. I. .1 CD O Lab Results

w G to Sample ID# Sample Location Tune (AM) Containei Capacity Pl esei vatn e Ft G M 0 > 1^-“ O H 250nil HNO3 / A O Za: Y"4 -f/2.a. -^r _ _____________ , 30 //ja/ 2501111 HN03 c'. trf G / O H O 250inl HNO3 O lAi A 250ml HN03 to o H ' a o A 250ml HNO3 H V > a 250ml HNO3 o

2501111 HNO3 co H 'll 250 ml HN03 H

co COMMENTS: (ADDITIONAL COMMENTS o co / ON BACK) 2 ELINQUISHED by (SIGNATURE BELOW) DATE/TIME RECEIYED BY' (SIGNATURE B^LOIY) DATE/TIME

M Jun I w^iE (BELOAvy? ______ PRINT NAME (DELOW) I _____ zzzzz^zzz •-* ESHNGPROUBEDBY o ----------------------------------------------------------- o LABORATORY DIRECTOR SIGNATURE DATE/IIME ■

I ------------------------------------------ o \SELAP# AIHA NLLAP# PRINT NAME- Ud. (J, w lead forms NEWHZO xIs cc OJ co co

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NYC-WTC_000179443Source: NYC Law Department, mirrored locally

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