NYC-WTC_000102803
ASSOCIATES
PROJECT INFORMATION
AIR MONITORING DATA
AN
SROs CHAIN OF CUSTODY FORM
D
Page of
(2 hrs
0 4hrs
o6
O24hrs [72 hrs
TURNAROUND TIME
hrs (48hrs (Standard
(Other
1. Client:
TRIBECA pac [c
2. Project Name Ly &) CALAN bey ce oe
3. Project #
4. Project Monitor,
tye
2a. Project Address
3a. Task #
4a. Air Sampler” 4 77?
4c. Rotameter Number:
5. Date: 6. Abatem:
i
Yao an bee'¢
7. [J] PCM (0.8 micron mce)
C a
Lot Yee
8. [V] TEM (0.45 micron MCE)
Cassette/Filter M
Lot #
9. Type:
a. (J Background
b. 1] Pre-Abate
c. (] Abatement
d. [] Post-Abate
e. [] OSHA
f. ] Environmental
g. (1 Ambient
h. [) Other
/
DAILY AIR SAMPLE RECORD
Sy
* Sample |.D.
Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15.
Number
“a
A 12c. Sample Coordinates
13a. Start
13b. End
13c. Total
14a, Start. | 14b. End = | 14b.
Total Air Vol.) # Fibers/Flelds
16. 17.
Fiber Conc. F/CC
Minus Blank
Field Blank
Field Blank
(liters)
}O
Lp /7.N
7S
Lv
Te
II
Fue
\A
6.0 “U
Ke?
764
CHAIN OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
18. Relinquished By:
19. Received By:
20. Date: | 21. Time: | | 22
. Lab Name:
AGIC-JEM
23. Date:
24. Time:
25. Microscope Make/Serial #:
be
Y
a. Analyzed By:
“AGN LS 28
C] Nikon Labophot 238913
foyer
b. QC By: |
[fe4
“
(Nikon Labophot 238917
c. Lab Batch #:
UC Nikon Labophot 239079
26. ATC Project Manager:
27. Result To:
Seep Pure #3
28. Comments:
Analysis Methodology
PCM - NIOSH 7400A
TEM SRA
NYC 9/11 Public Portal Document
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NYC-WTC_000102803Source: NYC Law Department, mirrored locally