NYC 9/11 Public Portal Document
-----MAR. 30. 2003— 7: 59PM JLC ENVIRONMENTAL NC'. 032 •P. 3
JLC ENVIRONMENTAL CONSULTANTS, INC. CHAIN OF CUSTODY LOG
CLIENT:&J tt £- P JECT NUMBER: Li l l
SITE: • 3 TCH NUMBER: ,.
TECHNICIAN: lu.3 SIGNATURE: jt U DATE: _/ 9
PROJECT-MANAGER: PAGE OF
Sample Type Size RESULTS
SAMPLE DESCRIPTION I LOCATION
I.D Paint Soil Wipe water Other Content Unit
SA FIELD#
...... I. :...... .... ............... 1
LAB 4
OLQR(S)
c'
R.. K `a i
k FIELDS
SAMt' j (`
LAB 11
0 3 41 6 pw f
COLOR(S) +
SA L # FIELD #
LAB . .1~. ...,,rwr,~c. ~.. / Z.1.......,
,..., .t
COLOR(S)
x 1
fob- cP ~aZN
SAMPLE # FIELD S
LAB 0 -
COLOR(S)
SAi(PLE# FIELD 0
........................................................... ....................
-LAB*
........................-.,.................-----...................................
COLOR(S)
.
.
SAMPLE FIELD 0
........................................................ ....................
LAB e
........................-.......,...................................................
OL0R(S)
Analysis Requested Turnaround Time Verbal Results to Report to
<24 HRS NAME NAME
048 HRS PFUPWAxrr ADDRESS:
❑ Over 3 Paya DATE I I TIME
DATE 1 1 TIME t
OTHER
DATE TIME
RELINQUISHED BY:(print) s a3 (aign) jet
RECEIVED BY:(print) tf (eipn) rJ
RELINQUISHED BY:(print) (sign) I /
RECEIVED BY:(print) - (sign) , J .._ L_.
ENTERED BY:(print) (sign) l , r
CORRECTED BY:(print) (sign) I. r
LAB NAME; M T DOLOQY RUMENT COMMENTS. '
ANALY2 • C EPA SW046.30301742D Varian SpeatrAA-250 Plus
DATE 1 1 IME: C EPA SwB46.1979(4.1.3)r7420 ❑ Air-Acetylene Flame
QC BY. DATE: ❑ EPA 68-02.4550 ❑ Graphite Furnace -
Ypuow Copy:Laboretory
Pink Copy - Project Manoger
NYC-WTC 000101149
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