NYC-WTC_000103926
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Bulk Sample Data Chain of Custody Page 34, iS)
47 Hudson Street, Ossining, N.Y, 10562 ‘TEL (914) 944-2570 PAX (914) 941-4154
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POUVEZ LL? LEPEE a L£ME Project #:
Project Site: MUcEdpont bi.ttud ate: Q- ZBO- D /
Praject Address: Met Yori f Mire Voce. Inspector: H00/ an Fi Li fr
Report to: Signature: __& [aa
Name /s Company /- Lh i Tel/Fax . CL eer fi
Date Analyzed: fe 3 Analyst: (PLM) <5 ad ,
Date Analyzed: Analyst: (TEM) : 7: TAB USE ONI ae
FIELD FUNCTIONAL LAYERED? |FRIABLE = F TPE OF | Ot -PLM.| | TEM.
SAMPLE # |FLOOR | AREA | GROUP | ITEM DESCRIPTION Y/N | NOB=N | COLOR | REPAIR |. NUMBER | NUMBER
IP [22 Prono 2 |Qugr ON pee | 7 | & | Garr g144 7
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Client:
NYC 9/11 Public Portal Document
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TRE ey RR): Dare: Time: | RECEIVED BY (SIGNATURE): Dari | Tima: Turnaround Time: 8HR 24HR \ 48HR 72HR
> 7 Q\-BO HN D. peut plofoy| 9 S_| OTHER: | or dated on time)
RELINQUISHED BY (SIGNATURE): Dare: | Tis: | RECEIVED BY (SIGNATURE): Dare: | TIME: Stop at 1st Positive per homogeneous material?" Yes ) or No
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Hold for TEM Confirmation? Yes or No
WHITE: LAB YELLOW: SITE/TECH
Vriable = NYS DOT 198.1 NOB = NYSDOH 198.4
comments: Wy Abd ~ xibewe Crass beores/
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NYC-WTC_000103926Source: NYC Law Department, mirrored locally