NYC 9/11 Public Portal Document
ILENVIRONMENTAL CONSULTANTS, INC.
CLIENT:
TECHNICIAN
PROJECT MANAGER
SAMPLE
1.D
SAMPLE #
LAB#
COLOR(S)
SAMPLE #
LAB#
COLOR(S)
SAMPLE #
LAB#
COLOR(S)
SAMPLE #
LAB #
OR(S)
AMPLE #
LAB #
COLOR(S)
SAMPLE #
LAB#
COLOR(S)
FIELD #
FIELD#
50
FIEID#
FIELD #
FIELD #
FIELD #
DESCRIPTION / LOCATION
LUAN
Analysis Requested
PROJECT NUMBER
LAB BATCH NUMBER
SIGNATURE
SAMPLE INFORMATION
Sample Type
Paint
Soll
Wipe
Water
CHAIN OF CUSTODY LOG
-201141
230342307
DATE:
PAGE
OF
Size
RESULTS
Other
Content
Unit
<9
29
RELINQUISHED BY (print)
RECEIVED BY (print) Alde11
RELINQUISHED BY:(print)
RECEIVED BY:(print)
ENTERED BY:(print)
ORRECTED BY (print)
LAB NAME:
ANALYZEDİBY
DATE 3I OIPSTIME:
QC BY
DATE
White Copy = Folder
Yellow Copy #Laboratory
NYC-WTC_000132127
TECHNICIAN'S LOG
Turnaround Time
Verbal Results to
724 HRS
: 48 HR$
• Over 3 Days
OTHER
CHAIN OF CUSTODY
NAME
PH/PG/FAX#
DATE / / TIME
(sign)
ollios
(sign)_
Madeet licilino
(sign).
(sign)
(sign)_
(sign)
DABINFORMATION
METHODOLOGY
INSTRUMENT
Varian SpectrAA-250 Plus
EPA SW846-3050/7420
EPA SW846-1979(4.13)/7420
EPA 68-02-4550
• Air-Acetylene Flamé
D Graphite Fümace
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_000132127Source: NYC Law Department, mirrored locally