NYC 9/11 Public Portal Document
ILLCENVIRONMENTAL CONSULTANTS, INC.
CLIENT
ECHNICIAN
PROJECT MANAGER
SAMPLE
1.D
DESCRIPTION / LOCATION
SAMPLE#
FIELD #
LAB #
COLOR(S)
SAMPLE #
FIELD #
LAB*
COLOR(S)
SAMPLE #
FIELD #
LAB #
COLOR(S)
SAMPLE #
FIELD #
LAB#
COLOR(S)
PLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
FIELD#
LAB#
COLOR(S)
Analysis Requested
PROJECT NUMBER
LAB BATCH NUMBER
SIGNATURE
SAMPLE INFORMATION
Sample Type
Paint
Soil
Wipe
Water
CHAIN OF CUSTODY LOG
431037
-326
DATE
PAGE
Size
RESULTS
Other
Content
Unit
<9
340
RELINQUISHED BY. (print)
RECEiVED BY (rint)hH0o//
RELINQUISHED BY (print):
RECEIVED BY (print)
ENTERED BY:(print)
GORRECTED BY:(print)
AB NAME:
ANALYZED B
DATERST2TUDIME
QC BY
DATE
While Copy = Folder
Yellow Copy = Laboratory
ОAДАиa Рідelіsкаnь
NYC-WTC_000132126
TECHNICIAN SLOG
Tumaround Time
Verbal Results to
•24 HRS
NAME
D 48 HRS
Over 3 Days
PH/PG/FAX#
DATE / TIME
OTHER
CHAIN OF CUSTODY
(sign)
(sign)*
Mackce
(sign)
(sign)
(sign)
:(sign)
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
INSTRUMENT
Varian SpectrAA-250 Plus
EPA SW846-1979(4.1.3)/7420
EPA 68-024550
M Air-Acetylene Flame
• Graphite Fürnace
Report to
NAME :
ADDRESS
DATE/ / TIME
DATE
-122
TIME
COMMENTS
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132126Source: NYC Law Department, mirrored locally