NYC 9/11 Public Portal Document
The First Choice for Environmental Testing & Consultin
I.FAD ' •')3T WIPE CHAIN OF CUSTODY
DATE ?- SAMPLING: _ _ ____ q_/ —
PROJECT NAME:
PROJECT ADDRESS:
XRF TYPE & MODEL #:
TURN AROUND TIME (circle one): iiir ?:rt. .4~ir LZbx
^T ! Dimension of Sample I Result of Lab:
Sample # Room # or Area Identifier A,_ , ---...~ ..rpled Areas (inches) Analysis (ug/ft2)
1 uglft2
21 k~- 0+2 ti 1 2 2 1' ug/ft2
It I1
tt
31 1Z~t '~, • t G ~12 tIY Il ug/ft2
kti- -Z!
4 4fL c toZ 1l ug/ft2
5 1IJ Co do• " k.l l D np ' 01191791 /2" / Z" ug/ft2
/2" ,~
— 6 1 11 S ~~ ~ pS It 4 , // ///C /2" t titgl;i`1
r 2- v / Z r
7 ~1 (T2~o Y2. N} PpS * d 0l0 ug/ft`
t c/o s +€F /2 „
a 2 ca- , w c r~~-- J2 x / 3. uglft'
91 1 ca z FS 3 ( i a" 12 " ugIft2
'3 2'
i0 g _/-/p
eocp- 1 Ph~tr • too-, Fa J2X 12`~ ~• ~/ ug/ft
11 fl-eah e t? : Z J/ Y Z `r /O ! uglft2
12 3 e-3113 1Z '~ x /1'7 uglft2
'7 A ,' / I ♦ _ - /.. 7 I , - h / •
1J l_- C.O4O < -> w G7 P)d t L-' 1' i C 1c ,r r L ug/tt-I
" ug/ft2!
1412. r e- Zo 6 / 2 ' '12
it ooe, j oa 12`,t l Z rI 6 ~, Z
15 Loeiz .)►i4-/ uglft2
16 PIZ.o(o F-9 4 (0 1211! 12 ug/ft2
COsr btgri
AJ-r r14 C a , « f'
17 CO•cr .0- f'2 tr' 12 uglft2
/V1t. { Nch,}.G cav r-, L+eat /2".'12." I
1,9 K_ uglft2
19 'g a«+ r~~ i C' a 4er 1 ~/ / ug/ft'
"st' Coo D /3o%r pP~ f2 (2 ug/ft'
20 h S ( /O ~ ~
20 =Total Number of Samples on this Page 'f -c , e 3 7 +SO
Sampled by (Inspector's Name): B e {,Z.r%
Received at Lab by:
Laboratory Name:
115 West 30th Street • 11th Fluor • `ew• \'t rl%. \o.. 1•ork 10001 + 212.2_70.1001 • 8S8.4hi~.3t 0 = Fax: 21 2 '7U.n
.,n • ,'ili , r T1 Gellt.ur • Suatr ntt0 • 't.0 . 13r.+.tt1 Sttrrt I'hilad Inin.t. I'.\ 1' I0 + 'I i : i •t-ttsa , s; - . r,ts ' 1 i
NYC-WTC 000106017
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