LONO
ISLAND
ANALYTICAL
LABORATORES INC.
OWE ANALITICAL SOLUTIONS TODAY*
CLIENT NAME/ADDRESS
ENAriospee
GOLAAENR AVA
SHITUTaNN Ne
PROJECT LOCATION:
018)
NTC
TERMS & CONDITIONS: Accounts are payable in full within thirty days, outstanding balances accrue
service charges of 1.5% per month.
LABORATORY
MATRIX
TYPE
PRES.
SAMPLE # -
LOCATION
For Lebornay Ue Do
1. A1562L
2 AN5127
BACK OIAN
B-FAONT DANS
Pg -
101-4 Colin Drive • Holbrook, New York11741•Phone (631) 472-3400 • Fax (631) 472-8505 • Email: [email protected]
CHAIN OF CUSTODY / REQUEST FOR ANALYSIS DOCUMENT
CONTACT: L. V&TTEA
SAMPLER (SIGNATURE)
DATE
TIME
SAMPLE(S)
PHONE: 631 366-5244
102902
SEALED
FAX: 631 366-5A81
SAMPLER NAME (PRINT)
LAnOT
CORRECT
CONTAINER(S)
ViTTGM
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YES/NO
YESYNO
NYC 9/11 Public Portal Document
• OF
CONTAINERS
10.
11.
12.
13.
14,
TYPE
MATRIX S=SOIL; L=LIQUID; SL=SLUDGE; A=AIR; W=WIPE; P=PAINT CHIPS; B=BULK MATERIAL
G=GRAB; C=COMPOSITE, SS=SPLIT SPOON PRES ICE, HCL, H2SO4, NAOH
RELINQUISHED BY (SIGNATURE)
DATE,2
PRINTED NAME
TIME
K73
RELINQUISHEDBY (SIGNATURE)
DATE
CAMA1 D
PRINTED NAME
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TURNAROUND REQUIRED:
NORMALE
STAT O
BY
RECEIVED BY LAB (SIGNATURE)
COMMENTS / INSTRUCTIONS
RECEIVED BY SAMPLE CUSTODIAN
WHITE - OFFICE / CANARY - LAB / PINK - SAMPLE CUSTODIAN / GOLDENROD - CLIENT NYSDOH ELAP# 11693
DATE/0/3//NPRINTED NAME
TIME
3za1
DATE
PRINTED NAME
10.31
KTivatE
USEPA# NY01273 CTDOH# PH-0284
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000120151Source: NYC Law Department, mirrored locally
Final laboratory report from RJ LeeGroup Inc. detailing transmission electron microscopy air analysis results for the 130 Liberty Street site in August 2004.