NYC-WTC_000103360
2
TESTWELL LABORATORIES, INC. Air Sample Data Chain of Custody Page S of _..
47 Hudson Street, Ossining, N.Y. 10562 TEL (914) 944-2570 FAX (914) 941-4154 .
Client: BOVIS LEND LEASE - LMB Project #: MBO _- 025 AR
Project Site: MILLENIUM HILTON HOTEL @ WC, VARIOUS FLOORS Dae: 06.2 8,0
Project Address: 5S CHURCH STREET, NEW YORK, NY_ 10007 Technician: fe
Report to: MICHAEL DEANE ROVIS (212) 592-6964 (FAX) Signature: _A-@frtoee
Name Company TellFax Rotomet a O§ O;
a otometer:
Date Analyzed: (ol 2610 Analyst: Keer | (i PCM y | TURNAROUND TIME:
TLI MEM 1) OFFICE FAX: (212).312-2147 (F PAN) _ ANALYSIS: " LABORATORY. ‘USEJONLY:
vie aide
FIELD — | sampte START | STOP | TOTAL | FLOWRATE | TOTAL = POM #. | iF (RE LTS: HSS
(wed
. , erg ft
799 [Coy t a7] OEY
_ (€UUL
g00 i lew rq —
Relinquished by (signature): Date/| Time: Received by (signature): Date/Time: SAMPLE _— 1 - Ambient 2 - Background 3 - Pre-Test
Prodan 10 Ob, W/ S ou b /2 > (0 2 CODES: 4 - During 5- Final 6 - Personal/OSHA
/ i IWA: INSIDE WORK AREA
Ko A CE - EP. owas! OUTSIDE WORK AREA
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000103360Source: NYC Law Department, mirrored locally