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NYC-WTC_000188071
Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000188071Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document 1 Page ot LYATC BATCH NO.
iQb 7jl __
PROJECT INFORMATION BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM 1. Client: 2. Project Name: 3. Project No: 4. Project Manager;
2a. Project Address: 7?2c -ccc :4a. Investigator f .v\ (VA-ez
5. Date: 6. Building Name: 8. Turnaround Time: 9. Comments (Field) □ STAT □ 24 HRS □ 72 HRS □ OTHER iC-3<) 7. Sampling Areas: □ 6HRS □ 48 HRS □ NORMAL
BULK SAMPLE LOCATION 10. 11. 12. 13. 14. 15. 16. Sample Location Material Material Asbestos Homogenous Bulk Sample Ttiermal Total Quantity Content Area No. ID No. System Floor Sample Coordinates (LF, SF, PCS) (Type & %)
1 ot Ante AzCYT.CvA
07
CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23.MeOiod of Submittal: ---------- .9. y WALK IN III US MAIL ----------- FEDEX III OTHER
LAB INFORMATION 124. Name and Signature 25. Date; 26. Time: 27. Comments (Lab)
24 a. Analyzed By: p L < 2- Y 24b. Analyzed By:
24c. QC By: NY-ta (3/99)
CITY_21MC100_003194536
NYC-WTC_000188071
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NYC-WTC_000188071Source: NYC Law Department, mirrored locally
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