Chain of custody form for asbestos samples, 33 Liberty Street

NYC 9/11 Public Portal Document

;' 2501 Central Parkway, Suite C-13, Houston, TX 77092 (713)686-3635 http://www.emsi.com

• EMSL ANALYTICAL, Inc. CHAIN OF CUSTODY EMSL Rep: Third Party Billing requires written Toe Froseo authorization from third party Your Name: Mr. Rick Leone . EMSL-Bill to: Company: Law Engineering & Environmental Same Services, Inc. Street: 7347 West Friendly Ave. Street: Box #: Box #: City/State: Zip 27410 City/State: Zip Greensboro, NC

Mr. Rick Leone Fax Results to: Mr. Rick Leone Phone Results to: Name: Name: Telephone #: 336-294-4221 Fax #: 336-294-4227 Project Name/Number: Purchase Order #:

TURNAROUND TIME ❑ 3 Hours ❑ 6 Hours 12 Flours 0 24 Hours 0 48 Hours j 0 72 Hours ❑ 4 Days O 5 Days 0 6-10 Days SAMPLE MATRIX Wastewater I 0 Chips I 0 Other ❑ Air I ❑ Bulk I 0 Soil I 0 Wipe I 0 Micro-Vac I 0 Drinking Water I 0

ASBESTOS ANALYSIS LEAD ANALYSIS MICROBIAL ANALYSIS

PCM -Air Flame Atomic Absorption Air Samples ❑ NIOSH 7400 (A) Issue 2: August 1994 ❑ Wipe, SW846-74200ASTM 0 non ASTM ❑Mold & Fungi by Air 0 Cell r— ❑ OSHA w/TWA ❑ Soil, SW846-7420 ❑Mold & Fungi by Agar Plate count & id ❑ Air, NIOSH 7082 ❑Bacterial Count and Gram Stain TEM AIR AHER.1 40 CFR. Part 763 Su4part E ❑ Chips, SW846-7420 or AOAC 5.009 (974.02) ❑Bacterial Count and Identification O NIOSH 7402 Issue 2 ❑ '.Vastewater, SW 846-7420 Water Samples ❑ EPA Level II ❑ TCLP LEAD SW846-13 1 1/7420 ❑ Total Coliforms, Fecal Coliforns PLM - Bulk Graphite Furnace Atomic Absorption 0 Escherichia Coli. Fecal Streptococcus ❑ Air, NIOSH 7105 ❑ Legionella ❑ EPA 600/R-93/116 ❑ NY Stratified Point Count ❑ Wastewater, SW846-7421 0 Salmonella ❑ California Air Resource Board (CARB) 435 ❑ Soil, SW846-7421 ❑ Giardia and Cryptosporidium ❑ NIOSH 9002 0 Drinking Water, EPA 239.2 Wipe and Bulk Samples ❑ PLM NOB (Gravimetric) NYS 198.1 ICP — Inductively Coupled Plasma 0 Mold & Fungi - Direct Examination ❑ EPA Point Count (400 Points) ❑Wipe,SW846-60100ASTM ❑ non ASTM ❑ Mold & Fungi - (Culture follow up to ❑ EPA Point Count (1,000 Points) ❑ Soil, SW846-6010 direct examination if necessary) ❑ Standard Addition Point Count ❑ Air, NIOSH 7300 ❑ Mold & Fungi - Culture (Count & ID) SOILS ❑ Mold & Fungi - Culture (Count only) ❑ EPA Protocol Qualitative 0 Bacterial Count & Gram Stain ❑ EPA Protocol Quantitative ❑ Bacterial Count & Identification ❑ EMSL MSD 9000 Method fibers/gram MATERIALS ANALYSIS (3 most prominent types) ❑ Full Particle Identification ❑ Other: ❑ Superfund EPA 540-R097-028 (dust generation) TEM BULK . ❑ Optical Particle Identification ❑ Drop Mount (Qualitative) ❑ Dust Mites and Insect Fragments ❑ Chatfield SOP-1988-02 ❑ Particle Size & Distribution ❑ TEM NOB (Gravimetric) NY 198.4 ❑ Product Comparison IAQ ANALYSIS ❑ Paint Characterizaton ❑ Nuisance Dust (NIOSH 0500 & 0600) TEM MICROVAC ❑ ASTM D 5755-95 (Quantitative) ❑ Failure Analysis 0 Airborne Dust (PM 10, TSP) ❑ Corrosion Analysis 0 Silica Analysis by XRD ❑Niosh 7500 TEM WIPE ❑ ❑ Glove Box Containment Study HVAC Efficiency ❑ ASTM D-6480-99 ❑ Petrographic Examination of Concrete 0 Carbon Black ❑ Qualitative❑ ❑ Portland Cement in Workplace Atmospheres 0 Airborne Oil Mist TEM WATER (OSHA ID-143) 0 Other: ❑ EPA 100.1 - ❑ Man Made Vitrous Fibers -MM VF's ❑ EPA 100.2 ❑ Synthetic Fiber Identification ❑ NYS 198.2 ❑ Other: OTHER:

Client Sample#(S) 9Siu_zp ~57J-Z/ qSN -2Z - ~3 TOTALsAMPLE# 9SN Relinquished: / Date: Time: •.r) Received: Lti Date: 0 Time: Relinquished: Date: Time: Received: Date: Time: Page I o12

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