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Potable water sampling chain of custody, Oct 2001
Machine-extracted title · confidence 95%Chain of custody form documenting the collection and preservation of potable water samples from school fountains on October 11, 2001.
NYC-WTC_000182865–000182867Page image
OCR text
OCR status: ocr · source: ours
NYC 9/11 Public Portal Document CITY_21MC100 003101597 PAGE 1 OF 3 ATC ASSOCIATES INC. POTABLE WATER SAMPLING - CHAIN OF CUSTODY 104 CAST 25TH STREET, 10TH FLOOR NEW YORK, NEW YORK 10010 PHONE: 212-353-8280 FAX: 212-353-8306 TOTAL # OF SAMPLES: Client Name: NYC Board of Education Project No: 41617-0546 Date: 10/11/2001 Project Address: Investigator: New Stuyvesant HS (M477) / 345 Chambers street 1,NEmloKk, NY 10007 Tumnaround Time: Rush Y. Efstathiour Project Manager: A. Andreou Analysis Required: See Below Sample ID# M477-10/11 - M Sample Location 8th FLOOR HALLWAY WATER FOUNTAiN BY ROOM # 827 -Ist DRAKl Preservative HNO3 •Ik -2M -B0 SeC ELASH HNO3 -3M -4M - 2 min FLASH Tth FLOOR HALLWAY WATER OUNTAIN BLPOSEDEAI 1Ea 40 HNO3 HNO3 - 5M -6N -30 seconds FLASH -2 minutes FLASH 9th F200R HNO3 HNO3 -7M -8M HNO3 -30 seC FLAs/t HNO3 COMMENTS: REDINQUISHED BY (SIGNATURE BELOW) FNANELON tettioi. DATE/TIME 10/11/01 TESTING PROVIDED BY: NYS ELAP'# АIHA NLLAP# NYC-WTC_000182865 Analysis Contauner Capacity Required 250ml Cud Fe ONLY Ph 250ml 250ml 250ml Fe ONLY 250ml 250ml 250ml 250ml F e ONLY RECEIVED BY (SIGNATURE BELO!V) PRINT NAME (BELOW LABORATORY DIRECTOR SIGNATURE PRINT NAME: Lab Results Cu Fe. Z Mn 0.19 0.18 0.22 0.18 0.19 0.16 0.13 0.08 0.24 0.28 0.08 0.22 0.26 0.16 (ADDITIONAL COMMENTS ON BACK) DATE/TIME 10/"/01 16:32 DATE/TIME w:lead:forms:NEWH20.xls
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NYC-WTC_000182865Source: NYC Law Department, mirrored locally
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