NYC 9/11 Public Portal Document
The First Choice for - ,ivvironntt_ital Testing & Consultinc
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%P.7- TYPE & MODEL #:
TURN AROUND TIME (circle one): h 12hr 24hr 48h 7 hr
Dimension t..' -..kale I est•.r Lab
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18 _______________ uglft2
19 uglft2
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17 =Total Number of Samples on this Page Io I- -P '3) . Jo 1P C, 3
Sampled by (Inspector's Natne): q
Received at Lab by:
Laboratory Name:
115. \Vca 30th Street • 11th Flour - New Yttrk. Nea fork 10001 1 212.27t).1001 • 888.-Fhb. 3t s Fax: 212.270.tM74
.:I fi' t. The Iiellev!te • ;uue t00 • 200 5 Br~+.til tn•et • I'hihtltipi11.1 P.1 I N 102 • 21 i : i2 040%, , %,14;; -;,t S ;' t + I':u , l i i2
NYC-WTC 000106010
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