NYC 9/11 Public Portal Document
MAR. 30. 2003 8:02PM JLC ENVIRONMENTAL 0. 032 P. 6
JL€ ENVIRONMENTAL CONSULTANTS, INC. CHAIN OF CUSTODY LOG
CLIENT: c ROJECT NUMBER:
SITE: BATCH NUMBER:
TECHNICIAN; 1. SIGNATUI DATE:__/X/&2
PROJECT MANAGER: • ( On, brc nr_
Sample Type Size F RESULTS
SAMPLE DESCRIPTION! LOCATIQN
I.D. Paint Soil i o Water Other Content Unit 0
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Analysis Requested Turnaround Time Verbal Results to Report to
`-e24 MRS NAME NAME
❑ 48 MRS PH[PGIFNW ADDRESS:
0 Over 3 Days DATE / 1 TIMtc
c OTHE DATE ! ! TIME
DATE TIME
RELINQUISHED SY:(print) (sign) / !
RECEIVED BY:(print' (sign) y !
RELINQUISHED BY;(print) (sign) ! /
RECEIVED BY:(pnnt) (sign) I I
ENTERED BY:(print) (sign) ! !_
CORRECTED 8Y:( rint) (sign) y !
LAB NAME: METHODOLOGY INSTRUMENT COMMENTS:
ANALYZED ❑ EPA SWD46~3050/7420 Varian SpectrAA•250 Plus
DATE: 5 / IME: 0 EPA SW848.1979(4.1.3)R420 ❑ Air-Acetylene Flame
OC BY: DATE: O EPA 68-02-4550 G Graphite Furnace
Whit& raw a Fnlnx
Yellow Copy • Lebarelary
Pink Copy _ Project Manager
NYC-WTC 000101152
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