NYC-WTC
000124366
O SCIAB
"SAMPLE.
CHAIN OF CUSTODY RECORD
SCILAB
SCILAB BOSTON, INC.
COMPANY:_
Salab Brston
PHONE: (
FAX #:| |_
P.O.#: 0710-37X
CLIENT CONTACT:
MARK PORTA
PROJICT #S-71108.0017 (99 Churchst.)
CLIENT
SAMPLE
SAMPLE
CONTAINER
IDENTIFICATION
TYPE
SIZE
TYPE
8 School Street Weymouth, MA 02189-8951
781 337-9334 / FAX 781 337-7642
SAMPLE TYPE
1. WATER
2. SOIL
3. SLUDGE
4. OIL
5. CHIPS
CONTAINER TYPE
P - PLASTIC
G - GLASS
V. VOA
PRESERVATIVES
FSa9SH
6. WIPES
7. AIR CASSETTE
8.OTHER
*
0110-372-1
- 2
SAMPLING INFORMATION
DATE
TIME
TECH
10/210
-3
WORK ORDER NO
101101891
DUE DATE
4/7/01
REPORT PACKAGES
MWRA
MA DEP
RDR
ASP A
ASP B
QC LEVEL 1
QC LEVEL 2
SAMPLED BY
ulauni:
REUNQUISHED BY.
Shade areas for laboratory use only.
Gold copy - Originator Retains
Pink copy - Shipper Retains
DATE:
TIME:
TIME:
Submit White and Yellow copies to the laboratory.
RECEIVED BY
RECEIVED BY
RECEIVEDBY
DATE:
EMOWYCI
Temperature upon receipt_
•ДСТ 30 2001
TIME:
DATE:
SPECIAL INSTRUCTIONS
• 24 HOUR TAT
• 48 HOUR TAT
TIME:
O 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_000124366Source: 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.