NYC 9/11 Public Portal Document
BILA ENVIRONMENTAL CONSULTANTS, INC.
CLIENT
PROJECT NUMBER
LAB BATCH NUMBER:
TECHNICIAN
SIGNATURE
PROJECT MANAGER
SAMPLE INFORMATION
Sample Type
SAMPLE
10
DESCRIPTION / LOCATION
Paint
Soil
Wipe
Water
SAMPLE #
FIELD#
LABN
COLOR(S)
SAMPLE #
FIELD#
LAB #
COLOR(S)
SAMPLE #
LAB#
FIELD #
COLOR(S)
SAMPLE#
FIELD #
LAB #
OR(S)
MPLE #
FIELD #
LAB#
An
LWNE RoN
Louff
COLOR(S)
SAMPLE #
LAB#
FIELD #
COLOR(S)
Analysis Requested
CHAIN OF CUSTODY LOG
03-27440
0303141 31310
DATE:A1
PAGE CL OF
Size
RESULTS
Other
Content
Unit
<9
29
<9
RELINQUISHED BY:(print)
/ELO
RECEIVED BY (print)_MAde/L
RELINQUISHED BY (print)
RECEIVED BY (print)
ENTERED BY.(print)
CORRECTED BY (print)
LAB NAME
ANALYZED By
DATE 31 0
QC BY
White Copy : Folder
Yellow Copy : Laboralory
STIME
DATE
NYC-WTC_000132125
Hins
TECHNICIANIS LOG
Tümaround Time
Verbal Resülts to
• 24 HRS
NAME
148 HRS
1 Over 3 Days
OTHER
CHAIN OF CUSTODY
(sign)
(sign)
nell
(sign)
PHIPG/FAX##
DATE/ TIME
cecho
(sign)
(sign)
(sigD)
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
EPA SW846-1979(4.1:3)/7420
EPA 68-02-4550
INSTRUMENT
Varian SpectrAA-250 Plus
Air-Acetylene Flame
El Graphite Furnace
NAME
ADDRESS
DATE/
DATE
Report to
/TIME
TIME
COMMENTS
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132125Source: NYC Law Department, mirrored locally