Microecologies lab report fax transmittal, Nov 2001

NYC 9/11 Public Portal Document

JCB UI-lAIN Ur UUS I ODY DOCUMENT Expected Date of Completion

J.C. Broderick & Associates Bill To: J.C. Broderick & Associates - 101.4 Colin Drive, Holbrook, NY 11741 Accounts Payable ; Laboratory: 631-419-0913 • Fax: 631-584-3395 101.4 Colin Drive, Holbrook, NY 11741 Project Name: (,q /fc - ti. -L- Project Manager KQ,vitn Kort~0.u. Sampler (Signature): Project Location:6q Hc, rra 34. ,tiJ , Samplers Name (Print) Client Name: (, q ~PcArY f— Project Number ❑ 6 HR 012 HR 1 24 HR 048 HR 072 HR 1114 DAY 05 DAY 06-10 DAY SAMPLE INFO Project Phase =Air =Bulk W=Water 1=Wipe -f-Time (min.)-- —Umin-*- Liters Analysis Analysis Date Sample ID Date Type Sample Location I Description Lab # Start Finish I Total Start i Finish: Volume 's Method MDL 1. s/mm2 I s/cc 1 (~ of tc _- cS~e~. U goat., rFrpcc. c~e g t ,6 $:eo z~to s ( ZOO € iD2 u L 2 gce P'O~ k acs t)eoor eL&.d rz t iol f ol 2yo s s 12- 3 n rr 0T 4Jc7r~~ Q e O4 .~t0.iR 2 f4;oZ1$!02 Z.`1O r '•. l2ep _ 4 — 5 .b 6 7 8 9 10 11 12 13 14 15 Relinquished by (Signature): Datp g1s Printed Name & Agent: Relinquished by (Signature): Date Printed Name & Agent: c~ S ✓S Time ime Relinquished by (Signature): Date Printed Name & Agent: Receiv for L r : Date Printed Name & Agent:

Comments & Special Instructions Time .- t Time q °V /< J ~

Fax Results to 631-584-3395 White - Laboratory Yellow - Office Pink - Field

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