NYC-WTC_000103704
TESTWELL LA
47 Hudson Street, O
Client:
ssining
RATORIES, INC.
N.Y, 10562
TRL (914) 944-2570
S Léa LeacEe__ >
FAX (914) 941-4154
Project Site:
ANN (pr He TO HEesece
ince
Oke BS. New YorRte, A
Project Address: LQ -
Report to:
Name
Date Analyzed:
oat
~ Company < (Po %
Q2—"_ Analyst: (PLM) . ens
Analyst: (TEM)
Date Analyzed:
Tel/Fax
Bulk Sample Data Chain of Custody Page
MABO- 02584
“ Pooks bela ay
Ld Xs
Signature
Project #:
Inspector:
lof
“LAB USE: ONLY:
MG Sens
NYC 9/11 Public Portal Document
FIELD
SAMPLE # | FLOOR
CTIONAL
GROUP | ITEM DESCRIPTION
LAYERED?
Y/N
FRIABLE = F
NOB =N
COLOR
PE OF
REPAIA
“PLM
. NUMBER-:: |
: TEM:
>NUMBER <| S(-— ce :
SUA’ BOARD
oo
6;
Hewes (ACE
twa
_
}-
Ox Lv
i}
74¢6t
—
| 2
Gor
conrsbud
7462
5
i
7466
col
7407
w wt wD
_| | eo,
7468
al.
(TEX
Dank: Times Ruceiven WY (SEONATURI):
SP- I IAG Eft
n
“Tint:
RELINQUISHED BY (SIGNA
Dare: TIME: RECEIVED AY (SIGNATURE):
TIME:
Friable = NYS DOU
COMMENTS:
NOB = NYSDOH [98.4
Turnaround TI
OTHER:
me:
BHA a
48HiR
WHITE: LAB
Stop at 1st Positive per homogene
Hold for TEM Confirmation?
Yes or No
YELLOW
SITE/TECH
Jimustke
ous material? Yes oa
72HR
dated on time)
No
l{
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000103704Source: NYC Law Department, mirrored locally