NYC-WTC_000103903
Project Address:
Report to:
Date Analyzed:
Date Analyzed:
TESTWELL LABORATORI
47 Hudson Street, Ossining, N.Y. 10562
Client: ov gS
e
ES, INC.
TEL (914) 944-2570 FAX (914) 941-4154
Project Site: Lu { LL BAO
Laer
Name
2 {04
Company
Analyst: (PLM) VAIN
Analyst: (TEM)
Telli IX
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Bulk Sample Data
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Chain of Custody Pag bb
3
Project #:
Date:
Inspector:
Signature:
SAMPLE #
FIELD
FUNCTIONAL
FLOOR AREA
ROUP | ITEM
DESCRIPTION
LAYERED?
Y/N
FRIABLE = F
NOB =N
COLOR REPAIR
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ELINQUISHED BY (SIGNATURE):
TIME:
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DATE:
TIME:
able = NYS DOI 198.1
COMMENTS:
NOB = NYSDOII 198.4
Turnaround Time:
OTHER:
Cy
24HR 48HA 72HR
(must be dated on time}
Stop at 1st Positive per homogeneous mara or No
Hold for TEM Confirmation? Yes or No
WHITE: LAB
YELLOW: SITE/TECH
th.
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000103903Source: NYC Law Department, mirrored locally