NYC 9/11 Public Portal Document
Page t of
t~
GaRPORAT1al"+1
Ovoupaflonel Health. 8iety &
WMrontn6flta1 ConsultvnW
02 01-0, L
170 T.engdean Roed
Fahfletd, CT 06430.6551
(203) 3194089
Lead Bulk Sample Data Sheet / G.U.C. (SiL)
Colden Corporation Project No: '_t72.-to0 Client: Battery Park City Parks Conservancy
Project lame: tr,~~s.~- e3, Pam
Date of Sample Collection: ,•- Samples Collected By: Hobart R. Van Deusen
Samnte LD.: Sample Locatl_Qn: fV ter 1: LaborAoxy Ans-41vsfs
tt st
• bY
r
00101ca..gr No ~}'~% 4^
!
g ( i -e ' )
_________
jl *o 2- -?- Stx~r •
A ©iaio _$_Lf ? of y -i-iuCt ic
C:omttl
ALL c ~- -. Carr. 5rf l e.S W/5 C 4 icc 'Pr*
Send Invoice to: Colden 100 N. 17 Si, 9 ., Phfladetphia, PA 19103
, . zrS-fib -qz o
Fax Results to: Rye Van Reuten , at (20°) 692-6051 Fax Results to; Sr_r_ea.Rkhev... ,ot. €115)43*ri9011
O
Laboratory Name: ~ 7L1 i SAMPLE TAT. r$ C2uestionsY GAL~r,,
BPS _ 6 y .
Samples Relinquished to Lab by: ', b(7 .
Date: -^ -- O7- (Print Name) S )
Samples Received at ab by: o __
Date: f f 0 3. (Print Name) (Sidsture)
0ZId Zb:60 Z00Z-9Z-NiW
NYC-WTC 000130946
OCR can misread numbers and units. Confirm readings against the page image before using them.