Chain of custody form, 114 Liberty Street, May 2003

NYC 9/11 Public Portal Document

environmental consultants, INC. CHAIN OF CUSTODY LOG CLIENT; _________ PROJECT NUMBER;

M "A M 4 ■ ' '^E; Ula yjY LAB BATCH NUMBER; rill I I i rn , . CHNICIAN; 1<A?XxaM/iU SIGNATURE DATE; 05 /.0‘j /Q3

PROJECT MANAGER _ . A PAGE GJ OF Oi I SAMPLE INFORMATION Sample Type I Size RESULTS SAMPLE DESCRIPTION / LOCATION ID Paint Soil I Wipe Water Other Content Unit SAM^E # FIELD# Pag I ^A\iVrCA4 - X LAE3# FU)cU............... COLOR(S) li" SAMgLEj# FIELD # P,AtA [ LAir# 1/ X dOccM-ret wP • COLORfS)

SAM^^ "I FIELD # PAh ( . IT'' LAi3 # 6- ' -AA UP? V'' CCLOR(S)

SAMPLE # FIELD#

LAB#

COLOR(S)

MPLE » ■ FIELD#'

LAB#

COLOR(S)

SAMPLE # FIELD#

LAB#

COLOR(S)

I TECHNICIAN’S LOG SI Analysis Requested Turnaround Time Verbal Results to Report to

□ 24 HRS NAME NAME □ 48 HRS PH/PG/'“AX# ADDRESS; TZ 3 Days DATE / ./ TIME A<^THER____ DATE / / TIME

RELINQUISHED BY;(print) oSt'^COrU 0 L |L CHAIN OF CUSTODY I DATE TIME (sign) CM / TK RECEIVED BYTprint) 'Sign)

RELINQUISHED BY (print) ; s I g n)______________________________

RECEIVED BYTprint) (sign)—t;;jkt/k u4 ENTERED BY (print) (sign)______________________________ CORRECTED BY;(print) (sign)___________

E , LAB INFORMATION 1 aB name METHODOLOGY _________ INSTRUMENT COMMENTS ANALYZED BY ij EPA SW846-3050/7420 Varian SpectrAA-250 Plus

DATE; IIME □ EPA SOT846-1979(4 1 3)/7420 □ Air-Acetylene Flame QC BY [DATE U EPA 68-02-4550 □ Graphite Furnace WlTte Copy = '--Tide-' Yelic’.v Copy - L3DO‘'d:ory (’.ryx Copy = ^rojec; Managar

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

CITY_DEP_WORBY_CANNATA_SUBP_000008986

NYC-WTC_000177556