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NYC-WTC_000220279

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NYC 9/11 Public Portal Document

Balytical.lBC. CHAIN OF CUSTODY Asbestos Revised, January-13,2000

Third Part)’ Billing requires written authorization from EMSL Rep: UVU-Vf__LoU third paitj' Your Company Name: ___________________ EMSL-Bill to: Street: ___________________ Street: Box #: ___________________ Box #: City/State: _________________ Zip; City/State; Zip:

Phone Results to; Fai Results to: Name: Name: Telephone #: Fax#: Project Purchase Order #: Name/Numben

1ML4TRIX TURNAROUND □ Air □ SoU □ Micro-Vac □ 3 hrs □ 6 Hours □ Same Day □ 24 Hours or 12 Hours' (1 dav) □ Bulk □ Drinking Water □ 48 Hours □ 72 Hours □ 96 Hours □ 120 Hours (2 days) (3 davs) (4 davs) (5 Days) □ Wipe □ Wastewater 1 □ 144+ hours (6-10 Days) TEM AIR, 3 hoars, 6 hours, Please call ahead to schedule. There is a premimn charge for 3-honr tat; please call 1.800-220-3675 for price prior to sending samples. You will be asked to sign an authorization form for this service. *12 hours (must arrive by 11:00 aju Mon - Fri.), Please Refer to Price Quote

PCM-Air TEMAir TEM Water □ NIOSH,7400(A) Issue 2: August 1994 ; □ AHERA 40 CFR;Part 763'Subpart E □ EPA 100,1 " ----- ----- □ 0SHA.W/TWA -------------- - . □ NIOSH 7402 Issue 2 Q 2 23 Other, □ EPA Level n □ NYS 198.2

PLM - Bulk TEM Bulk TEM Microvac/Wipe □ EPA600/R-93/116 21 Drop Mount (Qualitative) I I ASTM D 5755-95 quanthaxive 2] EPA Point Count □ Chatfield SOP - 1988-02 I I Wipe Qualitative 22 NYS Stratified Point Count □ TEM NOB (Gravimetric) NYY 198,4 □ PLMNOB(Gravimelric) NYS 198,1 221 EMSL Standard Addition XRD □ NIOSH 9002 —Q Asbestos 22 EMSL Standard Addition PLM Soil □ Silica NIOSH 7500 >EM Air or Bulk 3 EPA Protocol (Qualitative _ Qualiiative 2] EPA Protocol Quantitative OTHER Quanritatii'e 23 EMSL MSD 9000 Method Sbsrs/gram □ Client Sample # (s) Total Samples #:

Relinquished; Date; Time;

Received: Date: Time:

Relinquished: Date: Time:

Received: Date: Time:

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CITY_21MC100_003835454

NYC-WTC_000220279

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NYC-WTC_000220279Source: NYC Law Department, mirrored locally

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