NYC 9/11 Public Portal Document
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_+w CORPORA IONl
Decupalonal Health, safety a
Errvirciiitzentat Gansultanfa V Z-Q1— 03 t
170 Longdean Road
Fairfield, CT 064304551
(203) 319-0089
Lead Wipe Sample Data Sheet I C.O.C.
CoIden Corporation Project No: Q.7L-iCO Client: Battery Park City Parks Conservancy
Project Name: . e r jc rZ
Date of Sample Collection: .j 7_ Samples Collected By: Hobart R. Van Deusen
Sample LD.: Sample Location: Area Sampled in Laboratory Analysis C-
Requested:
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Send Tnyoice to: Colder 100 N. 17 9 FL., Philadelphia,PA 19103
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Laboratory Name: C3 -L Q - $~5•l r~ : 2t5"— 9b -IZ3
SAMPLE TAT: ' ' Ft _ Qu bons7
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Samples Relinquished to Lab by: j ~-t•~ 4~ )n
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Date: 1 - 2..-O2-- (Print Name) (Sig re)
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Date: J _.. (Print Name) ICion.tnrel
NYC-WTC 000105257
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