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Chain of custody form for dust wipe samples, Oct 2001

Machine-extracted title · confidence 85%

Chain of custody documentation for dust wipe sampling collected and shipped in October 2001.

NYC-WTC_000182335
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Scanned page image, NYC-WTC_000182335
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NYC 9/11 Public Portal Document

KAMCqNSUUAhfTS i5-40 3«h Street Long Wand Ctty NewYoric.ltlOe b ?s Tei: f^729-«S7 Fax: 0^729-1576

CR4IN OF CUSTODY FOR-fcg rlN DUST (WIPE SAMPLING)

Project : • LI Order Building Address : -Tty Date and Time of Collection: Samples Collected by : Method of Shipment:. Occupant's Name : Occupant's Address ; Contractor's Name : Contractor's Address : Abatement Status : OlOAO/^ S 3 Lcca:: a Vsa I Laoc; 0- ! Rem LxVv") ! Res; I ;• c ?■ ) :

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__ 3 ______ /Z- —/ - -C 7^//^ y________________ / r/^ A>22zZ-- — = >

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3 og ______ z<e>>a A-£>«KT?z'-s— s>- 2 m

II Z iQ r rTk^/g.^ Az -« //

A/.Zc?t/X/Yj — /Z. /Zit.T5\£2z2^ I

/T j;7^2A_Z_______

Delivered by ; Received by ; Date and Time Received ; Method of Analysis ; EPA / SW 846 - 3050a. Turnaround Time : CITY_21MC100_0 06262420

NYC-WTC_000182335

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NYC-WTC_000182335Source: NYC Law Department, mirrored locally

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