NYC 9/11 Public Portal Document
The First Choice for f•j.%, ironntr_~ral Testing_& Consultinc
=.=;, DUST WIPE r ; : "; CF CUSTODY
TE OF SAMPLING: J /
P' . OJECI '1AME: TH 4
•jr)OJF: f ADDRESS: 2 ~D 31 a e- - -
%P. TYPE & MODEL #:
TURN AROUND TIME (circle one): h i211r 2hr 4ghi 72hr
Dimension t.' -.. OIeI ~f~ esr.r r Lab
Sample # Room # or Area Identifier Area Being Sampled Areas (inches, • .-.-.';cis (ug/ft2)
21 CQ-[ 59 e' (-4 pid~`
l t . ~~, c- / ? ' 12 c' Z.1 ug/ft2
t-0 ~
2.2 `~ C-a• 2 Z i ug/ft2
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23 J9 l JuG /2 x / 2 ug/ft2
i'4 / ~DExr - /-- Dr ~` /?i 1Z I ua/ft`
Z 5 /JP 'Coo•- - 7 — 2.
/21 1 2..- ug/ft
9
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z 6 (C..Oi 5 o c~ -21 _ Gv tt g/ 2
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27 C ., ,t F C vL -2a /2 e 1Z ug/ft2
2.8 /9 to.4 t,, ~ PY f czl F3,[ l2x / 2_ ug/ft2
Z9 f9 t F° i ,_L1.
.j.2 e• 12. ug1ft2
30 19 n Fc►.• u ch4 ~ C /? r 12- ug/ft2
31 3 ( e42 e t? • ( ,f 1 uglft2
2 Qoc 1e cs / I2_ uglft2
Le [ 2 t[ I'l, ug1ft2
e-2 !Lt ter, - /2, 1? ug/fC2
35 '3 ( - c -o tz ~ t~ e -t IZ C/ 12:1% /Z. ug/ft2
116 3 I 9 2~ ` -e 4 P t •l ?-e, L- ug/ft2
7 t t -r. • lie -C 12 ►c I Z 2 s, q uglft2
18 ug/ft2
191 - I__________________ ug/ft2
uglft2
201
I =Total Number of Samples on this Page {4 •P 3)' 10 L -p c0 3
Sampled by (Inspector's Name): e. c c_7g q
Received at Lab by:
Laboratory Name:
115 West 30th Street • 11th Floor !
New York. Net% York 10001 • 212.2714.1001 • 8,S$.-}hh.3O20 3 Fax: 212?7u.a74
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NYC-WTC 000106018
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