NYC 9/11 Public Portal Document
ILLCENVIRONMENTAL CONSULTANTS, INC.
CLIENT
PROJECT NUMBER
LECGN
NL
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 #
LAB#
aLOR(S)
PLE #
PIELD#
LAB #
COLOR(S)
SAMPLE #
LAB #
FIELD #
COLOR(S)
Analysis Requested
CHAIN OF CUSTODY LOG
213 -21E
230BИI
B215
DATE A
PAGE
OF
:Size
RESULTS
Other.
Content
Unit
<9
540
RELINQUISHED BY: (print)
RECEIVED BY:(print)/
NAdO!!
RELINQUISHED BY:(print)
RECEIVED BY:(print)
ENTERED BY (print)
CORRECTED BY (print)
EAB NAME
ANALYZED BY
DATE 310ASTIME
QG BY
DATE:
White Copy: Folder
Yellow Copy = Laboratory
Pink Copy = Projeci Manager
NYC-WTC_000132124
TECHNICIAN S LOG
Tümaround Time
Verbal Results to
C 24 HRS
48 HRS
E Over 3 Days
L OTHER
CHAIN OF CUSTODY
(sign)
(sign)*
NAME
PHIPG/FAXN
DATE / / TIME
4 Collap
(sign)
(sign)
(sign)
(sign)
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
EPA SW846-1979(4:1.3)/7420
EPA 68-02-4550
INSTRUMENT
Varian SpectrAA-250 Plus
D Air-Acetylene Flame
• Graphite Furnace
NAME
ADDRESS
DATE/
DATE
00510
Report 1o
/TIME
TIME
COMMENTS
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132124Source: NYC Law Department, mirrored locally