Document page fragment, DEP Box 54, 2003

NYC 9/11 Public Portal Document

e3,1/24/2003 21:26 2126799392 SCILAB NYC P ;GE 04/64 L V u- uNMtrN I AL (.0 NStaL;I A T , INC. AIR SAMPLE LOG 03 AS IE? .i P `(_ ' PROJECT NUMPER' e P OJECT MANAGER: M ~ rJ ►ATE B3 r ,1j lo AN SIGNATURE: J 41TE COPY PROJECT MANAGER ~ J LLOW COPY =LABORATORY ( /,yr p~ I 1 p PAGE 01 OF O/ f~

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03569 CASSETTE TIME ❑ TYPE RESULTS TO JpCM (0,8 MICRON MCE) C (FR-_1i2Al ❑ Z 1-IRS ❑ 24 HRS y TEM (0.45 MICRON MCE) C.F, (`~ ❑ 4 HRS ❑ ~RE-ABATE ❑ OSHA NAME Penl Ny . HS DURING U ENVIRON LOT# CALIS. DATE / / l3 ❑ E HRS OTHER ❑ POST-ABATE ❑ AMBIENT DATE0,3 /~,Z /03 TIME

RELINQUISHED BY:(print W ~° J R (sign,? DATE Q ( TIME RECEIVED 6Y:(print) (sign) 1 1 X13 ::RELINQUISHED BY:(print) (s an) RECEIVED 8Y:(print) d~--V~C~,~ l Q; fIC C (sign (,(~~~ { ENTERED 8Y: (Print) • ~✓ 1 ~i`Z "(~ (sign) / / FCTED 8Y:(print) (S g0) _____j__________/_________ r a

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NYC-WTC 000131995