NYC 9/11 Public Portal Document
IILCENVIRONMENTAL CONSULTANTS, INC.
CLIENT:
PROJECT NUMBER
ULMNLL
LAB BATCH NUMBER
TECHNICIAN
SIGNATURE
PROJECT MANAGER:
SAMPLE INFORMATION
Sample Type
SAMPLE
DESCRIPTION/ LOCATION
Paint
Soil
Wipe
Water
SAMPLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
LAB#
FIELD #
COLOR(S)
SAMPLE #
FIELD #
! OrE
LAB#
COLOR(S)
PLE#
FIELO #
RAUSi
LAB#
COLOR(S)
SAMPLE#
LAB #
FIELD #
COLOR(S)
Analysis Requested
CHAIN OF CUSTODY LOG
BREatYE
73034E324
DATE1
PAGE
LOF
Size
RESULTS
Other
Content
Unit
17
<9
RELINQUISHED BY:(print)
RECEIVED BY (print) 2/AQe1/
RELINQUISHED BY:(print)
RECEIVED BY (print)
ENTERED BY (print)
CORRECTED BY (print)
LAB NAME
ANALYZED BY
DATE JI (pilfIME:
QC BY:
DATE
White Copy = Folder
Yellow Copy = Laboratory
Pink Copy : Preject Manager
NYC-WTC_000132123
TECHNICIAN'S LOG
Türaround Time
•Verbal Results to
- 24 HRS
NAME
3 48 HRS
Over 3 Days
• OTHER
PHPG/FAX#
DATE / / TIME
CHAIN OF CUSTODY
(sign)
CollAs
(sign)
ndei tatt
(sign)
(sign)
(sign)
(sign)
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
EPA SW846-1979(4.1:3)/7420
ЕРА 68-02-4550
INSTRUMENT
Varian SpectrAA-250 Plus
M Air-Acetylene Flame
• Graphite Fürnace
Report to
NAME
ADDRESS
DATE:/
DATE
055103
5
TIME
TIME
COMMENTS
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132123Source: NYC Law Department, mirrored locally