NYC 9/11 Public Portal Document
The First Choice for - ,"ironnie:-tctl Testing & Consulting
LFA;%p DUST WIPE r i s ^F CUSTODY
.ATE OF SAMPLING: ✓ / _
P' • OJECI NAME: iH 4
"UOJF rADDRESS: 250 3i tLaeQLAc
%P.- TYPE & MODEL #:
TURN AROUND TIME (circle one): h 12hr 24hr 4Rht 71h.
Dimension ,-' -..-*tole Re-st'.r r 1 Lab
Sample # Room # or Area Identifier Area Being Sampled is (ug/ft2)
Areas (inches, •• .
21 1~.t' /'.oct• r.
Go-oe' 5r9C1 -I t ~~, / 2~`>/ I2 gi. / ug/ft2
22 '2 C. S-Oc-e 5
.o y `: ~n (2 / Z uglft2
23 j? x /2. ug/ft2
-7 4 / - ~- '~~, ~,
t4
~~t •~ j? ,t' 12_ 2
ug/ft
Z 5 f f~ ' — ' -- ~ '~
o',~ /2 t ' / 2 ( ug/ft2
Z6/ g e-oo t S~ c..e,t=e, ~• a hL / ?r , 2— i ug1f 2
2.7 (.g ti s► -r AL..o-_
F;CJ /2 te1Z ug/ft2
2.8 /9 GaoLy °r /2-r-• / L ( ug1ft2
2 9 1.9 G'A.o~ is F 4'-r M-a,a-. / 2. 1-2 uglft2
3o 19 ct r .4 to e /2 Y 12. uglft2
31 3 £€ T e c? 1. ug/ft2
32 34 QAo2 Le 14 c j2•X IL
uglft2
3( , Le (2 oe 1'L ug1 t2
34 7~a pew f. e-p.. lL!1VfZ . /2. X 12 uglft2
35 ') ( IP -O tz p , -e erg 1.-- eecq /2 / ug/ft2
r 3 f ,- C~. `- 4 Pt - l~ ) .t! 11- ug/ft2
Cry c-n-. • Pie -~4 1 . ,Z 2 5, 7 ug/fe
18
ug/ft2
19
uglft2
20
ug/ft2
If =Total Number of Samples on this Page 4.o f' •P 3 7 'o (.••p Co 3
Sampled by (Inspector's Name): -c—c~~~,
Received at Lab by: ~T
Laboratory Name:
115- West 313th Street • 11th Floor • New• York. Ne%% York 10001 • !12.27Q.100! • MS8.4tm.3tt20 1
Fax: 21 2.2 U.)a7
acne .:I • t The Iiellet•tte • Suss e a00 • '00 S 11ru.0 ,itret ' 1'Itila rlI tin.i P. 19102 • '_ 1 i : 12'!-tofu , ;i;t;; ' ; t ~;' K
~ I':t~ ~ l i ; ; ,_
utttt 1Ii •E,ttitcntmrrt~ti c .uit
NYC-WTC 000106103
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