NYC 9/11 Public Portal Document
ALC Environmental Inca_'
ALC ENVIRONMENTAL
ASBESTOS BULK SAMPLE CHAIN OF CUSTODY
{ ~' , `" i______
DATE OF
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aROJECT NAME: SAMPLING:,k
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c i,JE~ i /HiilirctSS: _
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44-7 X12( i ~i c zG?'2c'C_ - !"1v
6hr "<✓.4t~, , 72hr Other
TURN AROUND TIME 2hr
Sample Location/Description Quantity % Asbestos
Homo Area Sample # M~..arial
cc F /,v~rl - V~ S1 I
i ran
3 33, ' I;ycrrl- vr5,11 I
I i Q r ;/lC~r~
t we1 ll I{
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j J
j I~ J I .A ~ iflvirlL/vt? - WSl I I
I I -31d
L' ( nGt'" - v,~I {
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- O - I V; rl~ /~ ? - vJS 1 `
___ _____ -.
I\
IC I
- Or4- eur-~12-\J
~. s0r4- Ber1r7r 2 - 41oc4 f
- _>C P- (~~ <C>-1- l~I i
- C1g-(1J~nC;~n - WS111
pQ II
I ~ ~, - Z CIJ-1 wl nri
c - 1I
~-~ - Z,A-IiJ~r►c;,nrl - WS~1 t I I
- I C.^rY V~
{ { 57 I i- 2I r;• - I i'JPI 11- ~______
Field Comments:
E Date 1022-Cl
P.eiinquished by: lS-=~(~
by: f 1 ,Zi E", "► r C. Date: _
l
Laboratory Name: 4 '
3 / NC
NEW YSFx NY 70001 Dt (212) 2S 1001 •Fax (22 2 c;Q r^ Fay= 888)-466-3620
1f WEs' 30r-. S;nr_ 1 ; r, , _oc
NYC-WTC 000121605
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