NYC 9/11 Public Portal Document
ILCENVIRONMENTAL CONSULTANTS, INC.
CLIENT:
PROJECT NUMBER
LAB BATCH NUMBER
TECHNICIAN
SIGNATURE
PROJECT MANAGER
SAMPLE INFORMATION
Sample Type
SAMPLE
:D
DESCRIPTION/ LOCATION
Paint
Soil
Wipe
Water
SAMPLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
LAB#
FIELD #
COLOR(S)
SAMPLE #
FIELD #
LAB#
OR(S)
NDEAEA
MPLE #
FIELD #
FANY
LAB#
V
COLOR(S)
SAMPLE #
FIELD #
LAB #
COLOR(S)
Analysis Requested
CHAIN OF CUSTODY LOG
36346
328
DATE: 0
PAGE
OF
Size
RESULTS
Other
Content
Unit
<9.
<
9
RELINQUISHED BY :(print) S1GE TA
RECEIVED BY (print)241 All61
RELINQUISHED BY:(print)
RECEIVED BY (print)
ENTERED BY:(print)
ORRECTED BY :(print)
LAB NAME
ANALYZED-BY:
DATE310ALTIME
QC BY:
DATE
White Copy : Folder
Yellow Copy : Laboratory
Oind.:r
NYC-WTC_000132128
TECHNICIAN'S LOG
Tumaround Time
Verbal Results to
L-kudin
MaliAs
C 24 HRS
C48 HR$
9 Over 3 Days
7 OTHER
CHAIN OF CUSTODY
(sign)
(sign)
(sign)
(sign)
(sign)
NAME
PH/PGIFAX#
DATE I I TIME
ColiI
(sign):
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
EPA SW846-1979(4:1:3)/7420
EPA 68-02 4550
INSTRUMENT
Varian SpectrAA-250 Plus
C Air-Acetylene Flame
• Graphite Furnace
Report to
NAME
ADDRESS
DATE /
DATE
00225
/TIME
TIME
COMMENTS
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000132128Source: NYC Law Department, mirrored locally