NYC 9/11 Public Portal Document
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CORPORATION
Occupational Health. Salety &
Environmental Consultants
02 vl —OIZ
170 Langdean Road .0-2o11202
Fairfield, Cr 06430-6551
(203) 319-0089
Lead Bulk Sample Data Sheet / C.O.C. (5 L)
Colden Corporation Project No: *-OUCO Client: Battery Park City Parks Conservancy
Project Name: W LS-r ` +'r''tcs P'`r1
Date of Sample Collection: Samples Collected By: Hobart R. Van Deusen
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Sample X.D.: Sample Location: Material: Laboratory Analysis
Requested:
Kcc A m is ~8
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pl OZe 2-5- I Oot11' E^ -
$cttA —''
7 c o?O2 -S - ?.-
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,t$ et r l1au'f_ -
Uto zo25 3 f y -j r- -
o f ozoz-s-~f ft y 5-} to c- e.
Comments: `
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Send Invoice to Colden 100,N. 17th St 9it, PhiladetFhia PA 19103 e%=so
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PO
Fax Results to: Rye Van Deusen at (208) 692-6051 Fax Results to: Gres Riches at (215)
Laboratory Name: $ $6s4rl SAMPLE TAT: ~6 1"S Questions.
Samples Relinquished to Lab by:
Date: f _` O2- (Print Name) Si )
Samples Received at Iab by: ~~ '' R-TA 1
Date: 0 (Print Name) (Signature)
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NYC-WTC 000105247
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