NYC 9/11 Public Portal Document
MAR, 30. 2003 8:00PM JLC ENVIRONMENTAL NO. 32 P. 4
JLC ENVIRONMENTAL CONSULTANTS, INC.. CHAIN OF CUSTODY LOG
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CLIENT; ~- '[ ~, P ~ PROJECT NUMBER: 7 I~T- ~
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SITE; L. BATCH NUMBER:
TECHNICIAN; SIGNATURE; L DATE:...~ J 1D
PROJECT MANAGER:
(I PAGE OF
Sample Type Size RESULTS
SAMPLE DESCRIPTION 1LOCATION
J.D. Paint oil wl a Water E her Content Unit
SAMPLE# FIELD #
COLo (S)
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SAMPLE FIELD N
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LAB#
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SAMPLE M FIELD #
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Analysis Requested Turnaround Time Verbal Results to Report to
S t4 HRS NAME NAME
048 HRS PMMGIFAXM ADDRESS:
❑ Over3 Days DATE /
DATE ! / TIME / TIME
OTHER
DATE TIME
RELINQUISHED BY:(print) (sign) 1a~9 10,3
RECEIVED 6Y:(print) ! (sign)
RELINQU19HED BY:(print) (sign) _/,j__
RECEIVED BY:(print) (sign)_ / /
ENTERED BY:(print) (sign) __
CORRECTED BY;(print) (sign)
LAB NAME; METHO OLOG INST UMENT COMMENTS:
ANALY2 D Y; EPA SW848.305017420 Varian SpectrM-25b Plus
❑
DATE' IME: ❑ EPA SW848.19?9(4.1,3)/7420 ❑ Air•Acetylene Flame
00 BY:
AN$Copy = Poker
Ydlow Copy ^ LOberolory
DATE; ❑ EPA 68.02-4550 ❑ Graphite Furnace
1
_____________________________
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NYC-WTC 000101150
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