NYC 9/11 Public Portal Document
The First Choice for Environmental Testing & Consulting
I_FAf • .')3T WIPE CHAIN OF CUSTODY
DATE . - SAMPLING: ! I
PROJECT NAME:
PROJECT ADDRESS:
XRF TYPE & MODEL #:
TURN AROUND TIME (circle one): 4bt 1atir 7.ry. 4i3hr Z2bt
Dimension of Sample ol Lab -
Result
Sample # Room # or Area Identifier AI,.- -....z 2;..rpled Areas (inches) Analysis (uglft2)
1 _— --- uglft2
2 - 0,2 E4 1t 1 2.It -L 11 uglft2
rr rt
3 `L~t E'er Gl `tiZ
rt\,
7 uglft2
4 eFJen.t ,.1g., F\Mt l kC,Cu-7Z 17!i (7`( I - ug/ft2
5
f4 i ait iV 4J
I ~s 1/f l Z'' . / Z" uglft2
/2" /2 ., tta!~2
61 1( ,L w PS(c -o •
Za
" 2
/
7 J C..tor2, 'k {-ti o/D ' uglft`
w u u k t-~+ !~ 12 " 3 uglft2
91 eQon. F'S (4 5j 1Z." 12 ' uglft2
,>
101g Goon ~ HeeILau • to-, Fa /2x iZ" 3 _?. y uglft2
r , Z
11 6D,00 H~-Pc'f h -F.e 9740 " r) Z f ' /O9. 9 uglft2
12 3 t a /(/ W G'r 2 L4 3/ 3 !Z ' e / r~ uglft2
,/ I Z ii ~, 2 i uglft2
131 3 &u S I✓ ,0 O 5'f a tl
,{ '
14 Z 4v P- (ZO b 1Z ' ' / Z " uglft2
15 aetz _r 4 r /Z" 67, Z uglft2
16 Cosy bt__ °., to t2r >< ! 2 t uglft2
y 'g"', Fati eocf~
17 8 COGr 11/& Er ('2 ' ) 2 l' uglft2
/Va r i4_'T I►1 v►+-i G _v 2 " e I Z" I uglft2
18
li C' a 4er t 2 r' / Z uglft2
F c9' P ' Pa h' f (24 ' L f D 'i. uglft2
20 e' h CA V
10 =Total Number of Samples on this Page cr C 3 / .S 2
Sampled by (Inspector's Name): . f- c
Received at Lab by:
Laboratory Name:
11 3 WW'e~t 30th Street • I Ith Fluor • New 1'orh. Nett }•ttrk I0001 • 212.27'4.100l • 888.46t).302_i Fax: 212.17U.t'74
.~
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