NYC 9/11 Public Portal Document
The First Choice for Environmental Testing & Consultin
1.FA1? 1 •'t3T WIPE CHAIN OF CUSTODY
DATE ?' SAMPLING: _ _ __ / 1q_/ 1
PROJECT NAME: r~ ` A
(
PROJECT ADDRESS:
XRF TYPE & MODEL #:
TURN AROUND TIME (circle one): ,4J1[ lZbr ? . 4$hr 72hr
Dimension of Sample Result of ab .
Sample #1 Room# or Area Identifier I Al, - ..rpled Areas (inches) I Analysis (uglft2)
1 - ---_'.
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2 .~c._ Z ' , -2-`t
0L c'1i 1 uglft2
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ll Y ri ug/ftz
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4 \
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1 os //0 7 /2"- uglft2
61 1/ Ca jz S w pS Ic l~// l2 `~ .r /7 " its/ft:
}' 2 ''Y l Z ` ug/ft''
n► P~4 '1t d o/0
a 2 cQO;, •U ~'~ I /2 ° '/2" / 3. uglft2
9I -O2 c J /Z'IV 12 " ug/ft2
10 ! th'ekau' 4ot.., Fa /2,' I2" -j ?. y uglft2
11 Cove{ H-ec1,c .e e i? Z // r I Z " /o . 9 ug/ft2
12 S 4 IZ /(f ' d 2 k4a 3 3 1Z '~ x / uglft2
/ " ,r
-S dO~'f g 0 /Z 12 " ug/ft2
+ ug1ft2;
14 2 eo- W Q- (zo b IZ ;J a'/ Z "
S+ t3Oe& 0a
15 Look y►2, ' è00 677 uglft2
161 S jCost btq 4 P1`-~(9 FO a P°" (.0 12t t! 12 uglft2
17 C-Q£r N.k c. AJD `Fay, Ji? - e (2 l2 1
uglft2
13 1. /t}}G
Ch 'Y ~ l ~+e •~ / 2 ".r 12." I ug/ft'
/1rr'
1° Oø-C4 01 , ) ,4 lc t'j 1t t e [t4~r f2 1'Y/ 2, ug/ft'
e'.Eph ct -St Coa t ' PPu t2.r / L I i
201 q, q uglft
O =Total Number of Samples on this.Page .cr C 3 7 SQ
Sampled by (Inspector's Name): Be.c~c c't~-~1g~
Received at Lab by:
Laboratory Name:
11 3 %Vest 30th Street ' 11th Floor s New 1'ltrL. Ne%% York 10001 • 312_.270.1001 ' 8SS.4hh.3h20 : Fax: 21 2.17 .n7
.:,Ill' .~Il1r~• . The 1i111t Ct1l' ' ill, R' (t\lll • t~yl \. l;1 .td ' I'llil:ld,•h)hu. r. 01 • 21 5: .ld'l\I . 1titi -;:J \i ' !':1 x' _1 5 7
NYC-WTC 000106009
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