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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_000182865–000182867
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NYC 9/11 Public Portal Document CITY_21MC100_003101599 ATC ASSOCIATES INC. POTABLE WATER SAMPLING - CHAIN OF CUSTODY 104 EAST 25TH STREET, ITH FLOOR . NEW YORK, NEW YORK 10010 PHONE: 212-353-8280 FAX: 212-353-830G PAGE 3 oF 3* TOTAL # OF SAMPLES: Client Name: Project Address: Investigator: NYC Board of Education Project No: 41617-0546 Date: 10/11/8001 New Stuyvesant HS (M477) /345 Chambers street, NEw YoRk,NY /0007 Turnaround Time: Rush Y. Efstathiou Project Manager: A. Andreou Analysis Required: See Below Sample ID# M477-10/11- -17M Sample Location Preservative -18M BLANK 71h FLDoR, ReoM$705 =Ist DRAW HNO3 HNỌ3 -190 -30SE FLABH HNO3 Analysis Container Capacity Required "Ph ALL Cu 250ml FIVE (5 <0.001 <0.0/ METAL 250ml All 155 0.006 0.06 1250ml ALL FIVE(S) METALS <0.00 10.06 Lab Results 'Fe Mn <oat <0.01 <0.005 0.22 0.20 0.09 0.04 0.090.04 HNO3 HNO3 HNO3 HNO3 HNO3 COMMENTS: (ADDITIONAL COMMENTS RELINQUISHED BY (SIGNATURE BELOW) patati aton, Sfita thieu TESTING PROVIDED BY: DATE/TIME 10/11/01 RECEIVED BY (SIGNATURE BELOW) ON BACK) DATE/TIME 10lk/01 16=30 PRINT NAME (BELOW) LABORATORY DIRECTOR SIGNATURE TDATE/TIME NI'SELAP# AIHA NLLAP# PRINT NAME: w:lead:forms:NEWH20 yls NYC-WTC_000182867

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NYC-WTC_000182867Source: NYC Law Department, mirrored locally

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