NYC-WTC_000103915
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TESTWELL LABORATORIES, INC.
47 Hudson Street, Ossining, N.Y. 10562
Client:
Bows Lit Lesa Lob
TEL (914) 944-2570 FAX (914) 941-4154
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Bulk Sample Data Chain of Custody Page
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Project #:
Project Site:
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Date: G - 2b -f
Project Address: MELE Vopr. _ AB Voeka.
Inspector: E0218 CLL SAR
Report to:
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Signature:
Name
Date Analyzed:
Analyst: (TEM
Date Analyzed:
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Analyst: (PLM)
FIELD
SAMPLE #
FLOOR
FUNCTIONAL
DESCRIPTION
GROUP | ITEM
LAYERED?
Y/N
TYPE OF
REPAIR
FRIABLE = F
NOB =N
TEM |
COLOR NUMBER “| .::(
Lf | 42
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RELINQUISHED BY (S'
IGNATURE)
Dati: Time: | RECHIVED BY (SIGNATURE):
DATE:
“TIME:
Friable = NYS DOI
COMMENTS: Ppa |, ON- Ys OWEAS Qld IN Spo
198.1
NOB = NYSDOT 198.4
AZ
Turnaround Time:
BHR 24HR 48HR 72HR
OTHER: (must be dated on time)
Stop at 1st Positive per homogeneous maior Yes) or No
Hold for TEM Confirmation? Yes or No
WHITE: LAB YELLOW: SITE/TECH
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000103915Source: NYC Law Department, mirrored locally