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← Document results/DEP Box 06/DEP 59.17 Junction Blvd, 11th FL
Document / 5 pages

Asbestos testing lab report for J & R Music, Nov

Machine-extracted title · confidence 95%

ENVIROspec laboratory report detailing asbestos sampling results from roof drains at a New York City music store.

NYC-WTC_000142958–000142962

Folder label: “DEP 59.17 Junction Blvd, 11th FL

Page image
Scanned page image, NYC-WTC_000142962
OCR text

OCR status: ok · source: pdftotext

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o o ^BA^M wc. 101-4 Colin Drive ■ Holbrook, New York 11741 ■ Phone (631) 472-3400 » Fax (631) 472-8505»Email: LIALOIIalinc.com i MAs«m«.M«s«..sae. gp CUSTODY / REQUEST FOR ANALYSIS DOCUMENT co

“0 o c o CLIENT NAME/ADDRESS CONTACT: rf y rl SAMPLER (S&4ATURE) OATS TIME SAMPLE(S) CT o YES^HO) o' SEALED 4^ ro ^0 L|h.A<A«lU<‘i flJt. PHONE; "0 CD o o> SAMPLER nAME (PRINT) CORRECT ro FAX: 6?! CONTAINERIS) 9L PROJECT LOCATION: A X '£ t M Mu Loiniii r’ O o o N7 C c 3 TERMS & CONDITIONS: Accounts are payable In full within thirty days, outstanding balances accnie CD service charges of 1.5% per month 3

MATRIX TYPE PRES. SAMPLE«- // LOCATION

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it OSiS__________________ naio____________ 12.....^7 L , ,J ,__________________________________ M' __________________________ H .' -7‘ J III MATRIX SaSOlU LoUQUID; SL=SLUDQE; A=AIR; W=WIPE; P-PAINT CHIPS; B»BULK MATERIAL TURNAROUND REQUIRED: COMMENTS / INSTRUCTIONS TYPE Q«QRAB: C=COMPOSITE. SS-SPLIT SPOON PRES ICE, HCL, H2SO4, NAOH NORMAL^ STATQ BY /

RELINQUISHED BY (SIGNATURE) PRINTED NAME RECEIVED BY LAB (SIGNATURE) DATEy^ ^PRINTED NAME

TIME TIME I >7J RELINQUISHED BY (SIGNATURE) DATE PRINTED NAME RECEIVED BY SA^P^^^USTODIAN DATE PRINTED NAME TIME A . _ _____________________________________________________________________________________________________________________________ WHITE - OFFICE / CANARY - LAB / PINK - SAMPLE CUSTODIAN / GOLDENROD - CLIENT NYSDOH ELAP# 11693 TIME . IC; 31

USEPA# NY01273 CTDOH# PH-0284

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NYC-WTC_000142962Source: NYC Law Department, mirrored locally

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