NYC 9/11 Public Portal Document
и TH FLOOR (UPSTAIRS)
BLAENVIRONMENTAL CONSULTANTS, INC.
CLIENT U.S DEP
WTC LBA
TE 114 LBELTY
STREET N.Y N.Y
_CHNICIAN:
SHAual
RATKUMAR SIGNATURE:
PROJECT MANAGER: A- GASPALLO
R03030/58
PROJECT NUMBER
LAB BAJCH NUMBER
pkajhuma
SAMPLE INFORMATION
Sample Type
SAMPLE
I.D
DESCRIPTION / LOCATION
Paint
Soil
Wipe
Water
SANGE*
LAB#
FIELD #
PAM FLOOR
KITCHEN.
COLOR(S)
SANOSE*
LAB#
COLOR(S)
SAPE*
LAB#
FIELD #
FIELD #
COLOR(S)
PAH|WALI
LIVING ROOM
(CENTER LEFT)
PAN| COUNTER TOl
KITCHEN.
SAMPLE #
FIELD #
LAB#
COLOR(S)
MPLE #
FIELD #
LAB#
COLOR(S)
SAMPLE #
FIELD#
LAB#
COLOR(S)
Analysis Requested
CHAIN OF CUSTODY LOG
Other
DATE
04 03103
PAGE + OF1
Size
RESULTS
Content
Unit
102"'
12"
12"
12"
TECHNICIAN'S LOG
Turaround Time
Verbal Results to
• 24 HRS
NAME
48 HRS
PH/PG/FAX#
7 Over 3 Days
OTHER
DATE / / TIME
PeEiNASRE Y SrtouN RAkoMAANoFcusTopRaghine
RECEIVED BY:(print)
(sign)
RELINQUISHED BY: (print)
(sign)
RECEIVED BY:(print)
TINA HorVat
(sign).
Tina Holvas
ENTERED BY:(print)
(sign)
CORRECTED BY:(print)
(sian)
LAB INFORMATION
B NAME:
ANALYZED BY:
DATE:
QC BY:
While Copy = Folder
Yellow Copy * Laboratory
Pink Capy * Project Manager
METHODOLOGY
EPA SW846-3050/7420
INSTRUMENT
Varian SpectrAA-250 Plus
TIME
DATE
EPA SW846-1979(4.1.3)/7420
EPA 68-02-4550
C Air-Acetylene Flame
• Graphite Furnace
NYC-WTC_000132160
NAME
ADDRESS
DATE
/
DATE
0403:03
36
163
COMMENTS
Report to
TIME
TIME
10:00
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NYC-WTC_000132160Source: NYC Law Department, mirrored locally