NYC 9/11 Public Portal Document
PAGE f -OF / ■
ATC ASSOCIATES INC.
POTABLE WATER SAMPLING - CHAIN OF CUSTODY
TOTAL # OF SAMPLES;
104 EAST 2STH STREET, lOTH FLOOR
NEW YORK, NEW YORK 10010
PHONE: 212-353-8280 FAX: 212-353-8306
Client Name: NYC Board of Education Project No: 41617°0563 Date:
Project Address: M833 /100 Trinity Place, NY, NY 10006 Turnaround Time: Rush
Y.
Investigator: Chacko Mathew Project Manager: Efstathiou Analysis Required: Seebelmv
Lab Results
Sample ID# Sample Location Specific Time Container Preservative
(AM) Capacity Specific Free Residual
Turbidity Color Odor pH Conductivity Chlorine
Vio-V-cN vs
'r\'< ' 500ml none 1 IV ^0-6 S
/ frcusVS Yc, s STS
500ml none 7.0^ \ H - r <' r a f
VaM.'sVo. s VO
6.-UX-5-7 500ml none kA u ^(-1 L a.
VslisVeT Vc^sVcVCV-A
-5?
Vs)lVc-V V-sa-svsVt-s
G-:>-c"5 3 500ml none It
€*^5 ^\.i
t-
—_21^_ 50ml none is i\^-3
W\fel3 - 3.|i(
fA<<Sl ' Sjii
- LC
\aJc-Vc -i V OxaV\\ Cl/
G 15-0^
SOOml none H.t' a 7.of C f i>\
_____ --1V
Vjt-V-2
500ml none TIT iJd
500ml none
o
H COMMENTS: (ADDITIONAL COMMENTS
K On BACK)
I
to DATE/nME RECEIVEP B/CSIGNATUl^ BEI/)W)
I
RELIN^yySHED BY (SIGNATURE BELOW) DATEmMt
W—;■ 3bA»>- PRINT NAME (BELOW)
o PRIN1S<AME (BELOW)
o
1
o
o TESTING PROVIDED BY: LABORATORY DIRECTOR SIGNATURE DATE/TTME
CO
LO
CO
O NA’S ELAP# AIHANLLAP# PRINT NAME:
CO
ifcklyjU.fmnib.lilFg^VTISO.
NYC-WTC_000227078
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