NYC-WTC_000231034

NYC 9/11 Public Portal Document

cl r- --, r -1 r .. I r--i r } i--·- - - 1 ' . r' ~~

! --i , --J r -i ,-- ] r--1 , -- 1 r;·-i If ( l r - J 51 i>-JS0 -2')5S f

UP, INC. TAVLOJ? Et-.V IROt JMEN TAl GROI I 00 I F.u SJ 6-353 - 17!10 NY 130 JERICHO f PKfi ' FLORAL rr.R.<.

D CH AIN OF CU ST OD Y DO CU ME NT LE AD SA MP LIN G DA TA AN I SAl.lflE~i l DAH TIME SA\1f'Lf(IJ SE.~1.£0 (iii); NO CONfAcr: TAf/ oz ofo;; - cuem l\IM'EIADDRES~ ~NO y

Jlc. ... :J s.,..,,,,,T lAMl'LER NAME jr.Oil'JI) COP.REf.T CONrAINER/;J ·-- ~ c. A. Al. Jl.,,u.,,,..,,,... PRCllfCT IOCATION: PROJECT U MA.TRIX (CjRC£ ON(!: ® M!Nf WIL nlHl'R --

M,,7 1 -1 52-1 1 I 2-'/iJJ!I_ _ ~ ./- ... ~""'",..," 11.S . --- J8FJ\ IFT'I SURFACE NATERIAL onjrn L~R Rt\ ULT .}~/j'fz SAMP LE INFO J?Ml '-T/O N: l!lllO: -- -- -- - LABORATORY# --- - SAMPLE ~ LOCA TION VJOCC> MUAL

12.ao .... ft c IOLI £e.,,-/,.1c~e I )<_ 11. 3 J Rw-o~ e7,,;r_,_,.; s/.~ff - -~ ·-- - -- ! 12...,...,...., lt c ,., ' -l .&-~,., I )< LJ.tJ l I f---- . ~w-10 11.., .s,..,t/,,_,,.~,,e

~~0~'1:1 c /02.:S d"~.... x t- f. tJ I I( ll.1 - I/ t''-1 It ... W4~e'_~cf'!./•~ f!' ff..,-<:'. .,.,..!' a.f' !? w- 12..- - - 20&1u .,, .. tOl.b

ylj~ ~:!<-11 :Jr/.-.v. H" c,_l f.·-e ( __ I x L J.tJ j JC-o e.-.; 1~z.6 v /&.. ., .... ~!l!o f--..--- --- i l ;< i ! E w-1.s -- -o"'.1 "(he a ..... v1,.,·~-ce -- -- t

1200 1,, Ci 10 2./ ~es.art. l x LJ& - -- Q,-U-1'1 d''I. i~ ... Eil"'r !Jt.a_ cc!: -- B.oi'~"'~- .(_J. 0 Reo1"' ~ 10 z.'l I - -- x - -- - -

- - r -i< - -- - (2. w- r::l _1'({?'01«. .tt_ st'wK!._, >--- -

/.~(;,,,_..,,., 12..,o.....,# 1D!.1 L //, (J ft_, . ~ C,,,v/,,.,-ti..- Cr? l x i-il-1 b COl.JN,ENTS I INHRllClLONS llJaNM OUNO REOllJREO:

0 i:-.. ~ "".,,er. -la Yo.vc... ._ ... ,t:(i'1t)<So1> -z-n -i" NORW,LQ HAT DO 6Y I I 6 h/'L Y.A.V. H i--l - P.ECflVfl) BY jSIGWffUREJ o.~rr 7. 2! PRINTED NN~E P~/NTEO Nl\t.\E le< RfrJNQU-1 ~;1 DA'E 1/-t-i/o.t_ N f--' 3: 0 :!. (';p;~ • ~ /I !ii.IE {;) 11.;9-C,

DAH °"'L. J::.:i:....~--- PR INTED N,<,M[ __!2_~}1).[IJ/.t.d,'t..:tt - - -·- 0/\IE RfCEIVEO BY ! AR j:ilGNATUREJ TIME {)(. /liL - !?.-·'lJrvtut:tttL ~RINTED N.'\ME

0 (J) P.Et. llf..-.u lSHWOY /SIGNAi ll11E) TIMf f--' (J) C) llME ·, I f\B f PINK - CLIENT "''''T '° . nHV F I VF l 1()IJ/ - J C)

IC) C) co co --J co w "" C)

NYC-WTC_000231090