NYC 9/11 Public Portal Document
MAR. 30. 2003 8:04PM JLC ENVIRONMENTAL NCB, 032 P. 10
• JLC ENVIRONMENTAL CONSULTANTS, INC, CHAIN OF CUSTODY LOG
CLIENT: PROJECT NUMBER:
SITE r~ ~,•ty
S T H NUMBER:
TECHNICIAN: SIGNATURE: DATE:__ /Q2_
PROJECT MANAGER: `
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Samp a Type Site RESULTS
SAMPLE DESCRIPTION! LOCATION
LD. Paint Ii Wi a Wi J Other Content Unit
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LAS#t03436
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Analysis Requested Turnaround Time Verbal Results to Report to
1 24 HRS' NAME NAME ■
Q 48 HRS PH/PWFAXP ADDRESS;
Days
D OTHE DATE 1 1 TIME DATE / l TIME
DATE TIME
RELINQUISHED BY:(print) (sign} ! /
REC91VED BY;(print) (sign) ~'~ / /
RELINQUISHED BY;(print) (slgn) _f !
RECEIVED BY;(print) (sign) /
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LAS NAME: METHODOLOGY INSTRUMENT COMMENTS:
ANALYzEt j 1 EPA SW848 305017420 Varlan SpectrAA-250 Pius
DATE -8! TIME: .. EPA SW849-1879(4.1.3)/7420 0 Air-Acetylene Flame
QC BY- DATE;' ❑ EPA 6B-C2.4550 ❑ Graphite Furnace
Khhe Copy a Folder
Yellow copy • Laboratory
Pink Copy . P'aja l Manger
NYC-WTC 000101156
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