NYC 9/11 Public Portal Document
BECENVIRONMENTAL CONSULTANTS, INC.
CLIENT.
TECHNICIAN:
PROJECT MANAGER
SAMPLE
ED
SAMPLE#
FIELD #
LAB #
COLOR(S)
SAMPLE
FIELD #
LAB#
COLOR(S)
SAMPLE #
FIELD #
LAB #
COLOR(S)
SAMPLE #
LAB#
FIELD #
OR(S):
SAMPLE #
TAB#
FIELD #
COLOR(S)
SAMPLE #
LAB #
FIELD #
COLOR(S)
PROJECT NUMBER
LAB BATCH NUMBER
SIGNATURE
SAMPLE INFORMATION
Sample Type
DESCRIPTION / LOCATION
Paint
Soil
Wipe
Water
Iiйl
Analysis Requested
CHAIN OF CUSTODY LOG
43737
DATE:!
PAGE
OF
Size
RESULTS
Other
Content
Unit
<9
RELINQUISHED BY:(print)
RECEiVED BY (prinD)/1/A 1e/!
RELINQUISHED BY:(print)
RECEIVED BY (print)
ENTERED BY (print)
ORRECTED BY:(print)
LAB NAME
ANALYZEDİBY
DATE STE iD3TIME
OC BY
DATE
White Copy s Folder
Yellow Copy= Laboratory
NYC-WTC_000132129
TEGHNICIAN'S LOG
Turaround Time
Verbal Results to
• 24 HRS
C48 HRS
Over 3 Days
OTHER
CHAIN OF CUSTODY
Colhins
(sign)
(sign)
(sign)
(sign)
(sign),
(sign)
LAB INFORMATION
METHODOLOGY
EPA SW846-3050/7420
EPA SW846-1979(4.1:3)/7420
EPA 68-02-4550
NAME
PH/PG/FAX#
DATE // TIME
CelI)
INSTRUMENT
Varian SpectrAA-250 Plus
• Air-Acetylene Flame
D Graphite Furnace
Report to
NAME
ADDRESS
DATE1.
DATE
0470240
/TIME
TIME
COMMENTS
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NYC-WTC_000132129Source: NYC Law Department, mirrored locally