NYC-WTC_000097241
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ASSOCIATES
ROJECT INFORMATION
AIR MONITORING DATA
AND
SX VO
CHAIN OF CUSTODY FOR
{ 22/706
Page 4 of. Sf :
TURNAROUND TIME
O16hrs (448hrs [Standard
O24hrs ()72hrs [Other
(2 hrs
(14 hrs
3
1. Clie
2. Project Name Der Cle ( ’
3. Project x 66
4. Project Monitor. CL SO L wir
4c. Rotameter Number:
2a. Project Address 12. a C (~ DB rz
ST
3a. Task #
Oa
4a. Air Sampler:
——et ta
Cy wo /
loay
Date: 6. Abatement Location:
7. {_] PCM (0.8 micron ce)
Cassette/Fiter Manufacture
Lot #
8. ba TEM (0.45 micron MCE)
Cassette/Filter Manufacture
Lot #
9. Type:
a. [7] Background
b. (1) Pre-Abate
cfAbatement
d. [] Post-Abate
e. [7] OSHA
f. J Environmental
g. (J Ambient
h. (7 Other
JAILY AIR SAMPLE RECORD
11.
le Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.}
15. 16. 17
Sample 1.D.
Number
Pump
Number
12c. Sample Coordinates
3a. Start |13b. End | 13c. Total
14a. Start
14b. End = | 14b.
Total Air Vol.| # Fibers/Fields| Fiber Conc. F/CC
53
Field Blank
Fedak Cleger (Inn:
Avg (liters) Minus Blank
sy
LHatlwy ay
42
so
Slo
~ \2ure
v7)
tf Pp4iuireg DSi)
li) Ae TE
0 Bye
*HAIN OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
19. Received By: 20. Date:
21. Time:
22.Lab Name: JT ~<PiS/7
23.D
ate: | 24. Time: | |25. Microscope Make/Serial #:
18, Relinquishegy\
tot it pe
Le |7helo2
Gecey
a. Analyzed By:
Ue
(1 Nikon Labophot 238913
74:60
WAL
¥
b. QC By:
Lib.
7
(J Nikon Labophot 238917
c. Lab Batch #:
(1 Nikon Labophot 239079
(It
26. ATC. Project Manager:
27. Resuit To:
28. Comments:
~Beeper/Phone #'s
Analysis Methodology
PCM - NIOSH 74004
TEM - AHERA
WHITE - File YELLOW
- Client/Report
PINK - Lab
GOLDENROD - Field
NY-1 (4/01)
NYC 9/11 Public Portal Document
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NYC-WTC_000097241Source: NYC Law Department, mirrored locally