NYC 9/11 Public Portal Document
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G ENVIRONMENTAL
ASBESTOS BI LK SAMPLE CHAIN OF CUSTODY
DATE OFjjSAMPLING: 10 / 2 2- /o I__
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DROJECT NAME: :. .. .. l.(.~t Q P CQ
pOJEC:7 ADDRkSS S `rOc.e 7 I - 'L _Q
TURN AROUND TIME 2hr 6hr ' •.r 24h: 72hr Other
Homo wea Sample* nllr.erial Sample LocationlDescription Quantity % Asbestos
1 misc. 33P- lir;n r►,-7-v./
Z { 33 P- 1jr; o o<
3 -33r.t-1;v, rrn- vlS,11
40 y 1 -
5 -31A -liv;., n-Wsi1!
_ - 3l li~►~ ~m-v~lS,t i '
I -30L-Iiv; •m-vJI11
30t- 8e rrrl - - 'too,
c1 Orl- 2- v4s 1
1 30rt- rrrr 2 - -P/oae
- P- 1i,; \l
3oA-twirl - visa
-_ -[RI; - ,ll
f1 J
-2$_-_ivi - Ji~1
11 - U.r~ n:1- I.
__
-
= ____ ____
- ____________
27N- iw e S+1
______ _____
- 27r1-
Field Comments:
c~ C~ oats: _10-22-C))
Relinquished by: • 7c . u lG2~C.2-
Received by: Date: tC'22s1G1
Laboratory Name: S
L( ( Q lt c t! 2
115 WEsr30T►, STaeer -11TH 'LcCR - Ntw YQ C. NY 100 1 • D7a1:cT (2121279-1001 - Fax: 212) 279-6747 • Tou F.EF- (888)-466-3620
NYC-WTC 000121619
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