HP Environmental request form and cover sheet, Oct 2001

NYC 9/11 Public Portal Document l(f4£ltlvii Slieet PhMc: 703'47/^4200 Hrrnctnn, Virginia 20170 racumiU: 703 *471-0020 i

J HPE HP environmental INCORPORATEQ ?st Request Form Pane .of -^iTTNAVE"^ FOR laboratory USt ONLY

£ 7^ £}^ 41 e'i^ri^c. RPT. NO. ref.no. 35813 Aocness BECEIVEO SY; DATE

analyzed BY: DATE

^HCNG/Pax REVIEWED Sy; DATE

PLEASE TYPE on PRESS HARO WiTH BALL.POINT PEN. P.O. / CONTKAC- <•/ CALL -Oa t contact PERSON COL^CTEDBr DATE

PnCLiSCT LOCATION SUawiTTEO 8* DATE

''’£S'^:5] necuesTEO or test cooes (note with bacm sample jf necessary) TOTAL NUMBER OF SAMPLES MCOCOP shipment

CESCRI6E THE PACKAGE OR SAMPLES □ ROUTINE □ RUSH □ FAX □ PHONE

sample NO. I type] SAMPLE LOCATION & REIV^ARKS -H. VOLUME/AREA:f MO c- Flow time on Plow TIME OPF

birr - oi I/tj < Cc/t^is. ~rn 7'/^ )^?./22|/.Z.3O TEST OODE 7 jZc. • NO. 02 FLOW Time on aow time off

TEST COOc __ J ulTfew^ I I // / A CRAAEa r.cw Time om floim Time off // I I I cce: rLiTx^b Zi Z / I OC AREA FLOW ' time ON FLOW NO 04 time off -O‘/'

TEST CODE: k"zFiS I I I Af Q^*P£A HO. Cfi Flow time on FLOW time’ccf

TtSTCOOg. - l<A/ I <2a//^<cd,az- - ' /r

Liters I II // OPAflEA NO.CB FLOW TIME ON FLOW TIME OFF -o L |/Fz»? Sy^->ai.tr CX'/’i/' .Ine1^5 I I I TEST cooe: OR AREA NO. 07 FLOV7 Time on flow T|M£ ORF

’SS^ COOE -^7 ATfa-rzc .Sc^gfcr'/j; : L—J-—L_l__ z f LiTEHS CRarea NCX M FLOW Time ON flow time off

'EST CODE: LITE P3 I I I OR AREA ''O. OS FLOW Time ON FLOW Time OFF -o I A/ rt. I I I ’’6STCCCE LITERS QA AREA NC. 10 flCw Time on flow time off Aza. fS/t ASjici/oJ - •^rtL. Pl o T/^ •esTcooe: -/ O I ri. XlfEPS I I ) >iTst. f ; iO II PLOiv time ON FLOW TIMS OFF

7S’ CCCE LiT’eSi I I I on AREA ■0 FLOW TIMEOM FLOW TIME OPF

_^Dt. LfTtnS I I I OR AngA A FORM 'MSTRUCYiOmS ARE LiSTgO O« THE BACK R£T«ira THE LAST |PINK) COPY FOR YOUR ReCOfiOS SU8WIT THE WHITE & YELLOW COPIES TO THE LAB

06.002306

CONFIDENTIAL, CITY_21MC100_003416307 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000174975