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Document / 132 pages

Chain of custody for unit ventilator lead wipe samples

Machine-extracted title · confidence 85%

Documentation tracking the collection and transport of lead wipe samples from unit ventilators at a World Trade Center site location.

NYC-WTC_000102902–000103033

Folder label: “UNIT VENTILATOR LEAD WIPE SAMPLE RESULTS

Page image
Scanned page image, NYC-WTC_000102954
OCR text

OCR status: ocr · source: ours

NYC-WTC_000102954 ee Pe ee 130 JERICHO TPXE., FLORAL PARK, NY 11001 a 3 516-358-2955 Fax 516-358-1780 LEAD SAMPLING DATA AND CHAIN OF CUSTODY DOCUMENT CLIENT NAME/ADDRESS CONTACT: SAMFLER RE DAT h > fo, smal Le _. E TIME SAMPLE(S| Mates La og | SAMPLER NATE (Paint CORRECT ES DNO Le CONTAINER(S| S 4 PROJECT LOCATION: PROJECT # * Ae uyvesavwd A. S. G77 1217/2 59g) MATRIX [CIRCLE ONE): Ware) PAINT SOIL OTHER SAMPLE INFORMATION LABORATORY &@ SURFACE MATERIAL AREA |FT2) wis 2 LOCATION WooD| METAL] erick lormer LAB RESULT 4/4 z Roe ers 2201 C Ver od . P RaemArusil fLa2 x hi -o2 prickles ed! le wero | x G0» bw) 23 Plas oe on eee Lo0 CW - Or fig es ee “490 — TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS Fay do Yay Lore El2)gee-erz uU ° TS / INSTRUC wom sar Q wy / / OGhe YAS RELINQUISHED BY |SIGNAZURE) DATE PRINTED NAME RECEIVED BY |SIGNATURE] DATE PRINTED NAME 3 2p, TIME ZA, EZ aera TIME mincugee IGNATURE} | DATE PRINTED NAME RECEIVED BY LAB [SIGNATURE] pale $29 | PRINTED NAME é v nme {|D K. Rr i a Wa meg, J0| #, Vrond (Hae WHITE - OFFICE / YELLOW - LAG / FINK - CLIENT NYC 9/11 Public Portal Document

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NYC-WTC_000102954Source: NYC Law Department, mirrored locally

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