NYC 9/11 Public Portal Document
MAR. 30. 2003 8: 02PM JLC ENVIRONMENTAL NO, 032 P. 7
JLC ENVIRONMENTAL CONSULTANTS, INC. CHAIN OF CUSTODY LOG
CLIENT: PROJECT NUMBER:
7
SITE: L BATCH NUMBER:
TECHNICIAN: t✓S ' SIGNATURE A
PROJECT MANAGER: 1Y
PAGE OF
Sample Type Size RESULTS
SAMPLE DESCRIPTION / LOCATION
ID. Point SolE Wipe Water Other
-
Content Unit
p I LD #
Gl..
I_ (q
.. .......................
CCOBLOR(S)
SA FIELD it+ ~I`, ~~
o R(s) t" " ~a •~, q
AMP 0 FI D #
tAB
coLOR(s> j.,. . f
er l~
AMPLE # _FIELD #
......................"..."".........................................................
LAB #
..........................................................................
OLOR(S)
SAMPLE * FIELD #t
...................................
.........................:..........................................................
COLOR(S)
SAMPLE # FIELD N
............. _....................,......_._............................_.......
..........................................................
COLOR(S)
4 , F
Analysla Requested Turnaround he Verbal Results to Report to
JV 24 HRS NAME NAME
❑ 48 HRS I PM/PGIFAIW " ADDRESS:
❑ Over 3 Days
( DATE I t TIME r DATE / / TIME
❑ OTHER
DA7E TIME
RELINQUISHED BY;(print) (6ign) 3
RECEIVED SY;(print) //J~j' (6i n) dy►S~
RELINQUISHED j3Y:(prinq (sign)
RECEIVED BY:(print) - (sign)
ENTERED BY:(print) (sign) i i
CORRECTED BY:(print) (sign) I, 1
LAB NAME'
ANALYZ_METHODOLOGY INSTRUMENT COMMENTS-
W845-305017420 Varian SpeotrAA-250 Plus
ATE W848-7978(4.1.3)/7420 ❑ Air-Acetylene Flame
QCBY: DA 8.02.4550 ❑ Graphite Furnace
f ite opy -older
Yellow Copy - L3beralory
Pwj Copy - Project Mar,eger
t r
NYC-WTC 000101153
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