NYC 9/11 Public Portal Document
JL€ ENVIRONMENTAL CONSULTANTS, INC CHAIN OF CUSTODY LOG
CLIENT: a C` G- PROJECT NUMBER _ I'i Q
B TCH NUMBER:
T HNICIAN SIGNATURE: DATE. 1~ (
PROJECT MANAGER: 7
c' ' PAGE OF
SAMPLE DESCRIPTION I LOCATION
Sample Type Size f RESULTS
I.D • Paint Soil Wipe Water Other Content Unit
SAM # FIELD # ~
)
4t
LAB / j t
f / {f
03471
X __
SAMPLE # FIELD # p °
L
COLORS)
j _Jj
SAMPLE # FIELD
(. ~... .. t~
LAB # 1
034 2s
COLOR(S)
. .... ......... ............ ... ,. .... }11(`~
j r T~ Id -
SAMPLE # FIELD #
................ _....
LAB#
LOR(S)
PLE # FIELD #
LAB #
COLOR(S)
SAMPLE # FIELD 11
LAB #
COLOR(S)
Analysis Requested Turnaround Time Verbal Results to Report to
EFiiE*ili24 HRS NAME NAME
L] 48 HRS :H/r'c~ir-AXu ADDRESS.
Over 3 Days DATE / TIME
(~ OTHER^ DATE 1 TIME
DATE TIME
RELINQUISHED BY:(print) (sog n} .J
RECEIVED BY:(print) ' ~i (sign)°/Z 1'.~~
RELINQUISHED BY:mnnt) (sign) /
RECEIVED BY:(print) (sign)
ENTERED BY:(print) (sign) ;
CORRECTED BY:(print) (9N
NAME: METHODOLOGY INSTRUMENT COMMENTS
ANALYZED Y: ~.~ EPA SW846-3050/7420 Varian SpectrAA-250 Plus
(
DATE:( 1,% TIME:. ❑ EPA SW846-1979(4.1 .3)17420 ❑ Air-Acetylene Flame
QC BY: DATE: [] EPA 68-02-4550 { Graphite Furnace
M-n' Copy = roi.f~ t
Yel N Copy =
Pink Copy - Proj c' Manager
NYC-WTC 000132192
OCR can misread numbers and units. Confirm readings against the page image before using them.