Chain of custody form, 114 Liberty Street, Apr 2003

NYC 9/11 Public Portal Document

MHR 11 2003 9:19 HR HHILIH HNHLY I 1CHLUO JJc: 91 bU lU rbb NtHVlNVa

FLoot-- “ ONMENTAL CONSULTANTS, INC. CLIENT: (JI* s teP -uiTC LfeA/_____ PROJECT NUMBER: TTT irm SITE: H4 TECHNICIAN; ShA-ujm ubcM igrteeT /?/ SIGNATURE^__ JI LAB^TCH NUMBER. [ zn DATE..0J/ 03/O.< m PROJECT MANAGER:. A- ■ PAGE 0^ -OP OA . r I Type RESULTS sample DESCRIPTION / LOCATION I-P. Cwiienl UnST a* COLOR(S) qi or 1>uxip- jbasusiB___ 7 SAN^Jl I FIELD* «« nog LlVldfi hQBM 7 X COLOR(S) Tn tt* SAI^I^* I FIELD# RtOXt M COUMTlBilTbP / .... ....... ........ CQLOR(S) w" SAMPLE* I FIELD*

LAB* COLOR(S)

SAMPLE* I FIELD# lAB* COLOR(S) SAMPLE* I field*

COLORCS)

Analyei* R«iwtted Results to Report to

□ 24 HRS NAME NAME □ 48 MRS PWP&FAW aooress □ Over 3 Days date / / TIME ; “ O’ DATE I I TIME I DATEr TIME ReUNQUISHED BY(print>__ .M, W_ RECEIVED BY.toftm) H RELINQUISHED BY:(print)_______________ f (sigiDj TJ ^^1 (Sign). / / RECEIVED BY;(print)' _________________ __ (sign). I / _ ENTERED gY:(pfint) _____________ (sign). I I ^SB&ssassJSBsL coRRScrepBY.toftm) / / LAB NAME: IWST7ttW<l6NT COMMENTS: ANALYZED BY; □ EPA SW846-3O50Z7420 Varian SpecIrAA-^Sb Plus DATE: I I TIME: O EPA aAtt4©-1979(4.1.3X7420 □ Aif'Aoetyteiie Plame QC BY: DATE: □ EPA6e>02-4650 □ GaiphUe Furnace V

CONFIDENTIAL, SUBJECTTO PROTECTIVE ORDER NO. 1, JAN. 2013

CITY_DEP_WORBY_CANNATA_SUBP_000008903

NYC-WTC_000177539