NYC-WTC
000124346
CHAIN OF CUSTODY RECORD
SCILAB
SCILAB BOSTON, INC.
8 School Street Weymouth, MA 02189-8951
781 337-9334 / FAX 781 337-7642
COMPANY:_
Ax Aosociares Inc.
Fer
SAMPLE TYPE
Cushman + wakefield
1. WATER
6. WIPES
2. SOIL
7.AIR CASSETTE
99 Chuoch ste
3. SLUDGE 8.OTHER
PHONE: DU2 353-8280FAX #: 012 353-8306
4. OIL
5. CHIPS
CLIENT CONTACT:
B.Sallemi
CONTAINER TYPE
P- PLASTIC
PROJECT #:—
15-71108-0017
G- GLASS
V - VOA
SCILAB
CLIENT
SAMPLÉS: :
SAMPLE
SAMPLE
CONTAINER
SAMPLING INFORMATION
PRESERVATIVES
r#yal
IDENTIFICATION
TYPE
SIZE
TYPE
DATE
TIME
TECH
C Gih Floe Fouen 1
i0/vdlo1
Hv03
cnit
Osh NE Faudain
Byth Sw Mens Rm
D3.NWFaudin
Sac. NW womensRM
Lobly SE Bele.
ORK ORDER NO
OL 10:134
DUE DATE
10.22
01
SAMPLED BY
BiM.sa
REUNQUISHED BY:
RELINQUISHED BY.
Shade areas for laboratory use only.
Gold copy • Originator Retains
Pink copy - Shipper Retains
DATE: 10/10/01
TIME:
DATE:
TIME:
DATE:
TIME:
Submit White and Yellow copies to the laboratory.
RECEIVED/BY
RECEIVEDBY
DATE/0/11/01
TIME.
9:3u
DATE:
TIME:
DATE:
TIME:
REPORT PACKAGES
MWRA
Temperature upon receipt_
SPECIAL INSTRUCTIONS
• 24 HOUR TAT
MA DEP
RDR
ASP A
ASP B
QC LEVEL 1
QC LEVEL 2
16°C
• 48 HOUR TAT
• 5 Day TAT
7 DAY TAT
• 72 HOUR TAT
• 10 DAY TAT
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000124346Source: NYC Law Department, mirrored locally
EPA Region 2 letter regarding revised environmental work plan submission for two buildings including asbestos, health, and safety assessment components.