NYC-WTC_000097502
J CHAIN OF CUSTODY DOCUMENT : Expecied Dple of Gpmplotion
JCB : 7/99 Joe |
J.C. Broderick & Associates Bill To: J.C. Broderick & Associates Laboratory: 7
101¢4 Colin Drive, Holbrook, NY 11741 Accounts Payable. / / A 2,
631-419-0913 ¢ Fax: 631-584-3395 101*4 Colin Drive, Holbrook, NY 11741
v1
Project Name: g2~-2-SCY Project Manager Sampler (Signature): Yp -
Project Location: “37 Muy rary St. My WY Ayt. SA Samplers Name (Prin): 7”
AK
Client Name: = LS Project Number 9-2 56Y |O6HR (12HRO24HR (48 HA 0172HR [4 DAY [15 DAY [16-10 DAY
JAN-28-2082 14:22
SAMPLE INFO | Project Phase WTC- | *A-Air B=Bulk W=Water Wipe | <—Time (min.)-> |<-L/min-» Liters Analysis —_| Analysis Date
Sample ID | Date | Type | Sample Location / Description Lab § | stant i Finish j Total | Start : Method MDL simm ! alec
NYC 9/11 Public Portal Document
Wudow Sof Aceh Oana LE i Lad
WIR
OVOP 4fi- Cope:
L.1. ANALYTICAL LABS. INC
-—(|H( oO) eae] o eo ( em!) a) a
=)
=
-
=
N
-
*”
=
<
=
wi
=
a
c
Ib me & Agent: Relinquished ty (Signature): pe Printed Name & Agent:
Time -
| Relinquished by (Signature):
Date Printed Name & Agent: Receivad for Jab by (Signature): Date, | Printed Name & Agent:
Time Ao _ftme OKiNe,
631 472 S565
Comments & Special instructions ~~)
| Fax Results to 691-584-3395
P.B3
White - Laboratory Yetlow - Office Pink - Flefd
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000097502Source: NYC Law Department, mirrored locally