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NYC-WTC_000233682

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000233682–000233761
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NYC 9/11 Public Portal Document

RESPONSE GUIDELINES

3.6 Site Characterization Report Form

INSTRUCTIONS Members of the site characterization team can use this form to re cord their obse rva tions a t the investigation site. It also serves as a checklist for notifying incident command at key points during the characterization. Additional checklists are included in this form for sample collection and e.xiting the site. The completed form can also be used as a component of the site characterization report. A form should be completed for each investigation site that is characterized

GENERAL INFORMATION Date: Time arrived investigation at site:

Name of Site Characterization Team Leader:

Phone No.: Fax No.:

LOCATION OF INVESTIGATION SITE Site Name:

Type of facility: □ Source water □ Treatment plant □ Pump station □ Finished water reservoir □ Elevated storage tank □ Ground storage tank □ Distribution main □ Hydrant □ Service connection □ Other

Address:

Weather Conditions at Site:

Additional Site Information:

40 Interim Final - August 2004

CITY_21MC100_004992379

NYC-WTC_000233722

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NYC-WTC_000233722Source: NYC Law Department, mirrored locally

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