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ASSOCIATES
JECT INFORMATION -
_ AIR MONITORING DATA
AND
CHAIN OF CUSTODY FORM
3° -
Page of __?
TURNAROUND TIME
2hrs []6hrs
[24 hrs ° [172 hrs
(J 48 hrs QJ Standard
. [) Other
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3. Project #
MYC- SCA
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fect Address 204 Warnen 57
2/2 O8 ~ e399
4. Proje Monitor: zZ
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4c. Rotameter Number:
4a. Air Sampler:
6. Abatement Location:
245.04 3 ned f~hon
NYC-WTC_000096447
7. [XY PCM (0.8 micron moe)
Cassette/Filter Manufacture fier é 77
tote MM EVRCCS Die
8. [_] TEM (0.45 micron MCE)
Cassette/Filter Manufacture
tot #
9. Type:
b. (1 Pre-Abate
a. (-) Background
c. (] Abatement
d. Fj Post-Abate
e. (OSHA
f. 1] Environmentat
g. BY Ambient
7
AIR SAMPLE RECORD
h. (J Other
11. 12. Samp
mole 1.0. Pump 1a
13. Time (24 hrs clock)
14. Flow Rate (min)
15.
umber Number IWA
Sampie Coordinates
13a. Start. 4413b. End
13c. Total
14a. Start
14b. End’
Total Air Vol.} # Fibers/Fielas
16. 17.
Fiber Conc. F/CC
Minus Blank :
Field Blank
Field Blank
(liters)
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12.09 | 4125
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12.03 | (25
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12.06 | 125.
14.6
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OF CUSTODY
LAB INFORMATION (ATC. ELAP # 10879, ATC NVLAP # 1187)
nquished By:
eceived By: : - | 20. Date:
21. Time:
- 122, Lab Name:
23. Date: | 24. Time: | 125.
A. fale L
Microscope Make/Serial #:
Dee
NYC 9/11 Public Portal Document
ran Riksrresbepnor asus ty
Q Nikon Labophot 238917
C] Nikon Labophot 239079
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b. OC By:
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Cc. Lab Batch #: -
Anatysis Methodology
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CM - NIOSH 74004 ~ 7400A_>
TEM - AHERA
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YELLOW - Client/Rapon
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1 Of
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WHITE - File PINK - Lab GOLDENROD - Field NY-1 (1/00)
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NYC-WTC_000096447Source: NYC Law Department, mirrored locally