NYC-WTC_000097227
ASSOCIAT
ROJECT INFORMATION
VAT C
AIR MONITORING DATA
AND
CHAIN OF CUSTODY FORM
S434
f DVLU90G
page
of __ & .
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(2 hrs
(4 hrs
TURNAROUND TIME ,
(}6 hrs
(0 48 hrs
(1) 24hrs (72 hrs
(] Standard
( Other
(=?
. Project Name be Cle a4) Ur
3. Project bs¢y ie
4. Project Monitor: Cc. VG h AES Ss)
2a. Project Address }5- C Eber Sa
3a. Task #
600y
4a. Air Sampler:
————
-——.
4c. Rotameter Number:
CS Ol
Date:
Fld wu
6. Abatement Location:
7. [_] PCM (0.8 micron tC}
Cassetle/Filter Manufacture
Lot #
Bd TEM (0.45 micron MCE}
Cassette/Filter Manufacture
Lot #.
9. Type:
| a. () Background
b. [7] Pre-Abate
c. LL Abatement
d. (] Post-Abate
a. [1] OSHA
f. J Environmental
g. .] Ambient
h. [j Other
DAILY AIR SAMPLE RECORD
11. 12. Sample Locati
ion 13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15.
Sample 1.D.
Number Number
Pump = [42a. 42c. Sample Coordinates
13a. Start
13b. End |143c. Total
14a. Start
Avg
14b. End = | 14b.
(liters)
Total Air Vol.
16.
# Fibers/Fields
Minus Blank
17.
Fiber Conc. F/CC
3)
Field Blank
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HAIN OF GUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
18. Relinquisfed By: 19. Received By: 5 20. Date: | 21. Time: | }22. Lab Name: 7 ae | 23. Date: | 24. Time: 25. Microscope Make/Serial #:
uw (CE CF Wee 75 eo a Analyzed By: eee | Pree |e -rqe) C1 Nikon Labophot 238913
b. OC By: “ [J Nikon Labophot 238917
c. Lab Batch #: CJ Nikon Labophot 239079
Analysis Methodology
ATC Project Manager: 28. Comments:
T) Bude Ansett
27. Result To: PCM - NIOSH 7400A
ee
~Beeper/Phone #'s
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field
NY-1 (1/01)
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000097227Source: NYC Law Department, mirrored locally