NYC-WTC_000102835
VAT C
ASSOCIATES
PROJECT INFORMATION
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AND
TOMITORING DATA
CHAIN OF CUSTODY FORM
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TURNAROYU
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(124hrs [972 hrs
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3. Project #
4. Project Monitor:
4c. Rotameter Number:
2a. Project Address Uo CO \ wher O
Rea
3a. Task #
4a Ar ST Qian Canuee
HPs
Date:
SECA
atement Locat
hinge
ada
7. tefl PCM (0.8 micron MCE)
Cassette/Fiiter Manufacture
Cassett
tot #
Lot #
8. [_] TEM (0.45 micron Mice)
e/Filter Manufacture
9. Type:
a. (] Background
b. [1] Pre-Abate
c. (] Abatement
d. (] Post-Abate
8. [[} OSHA
f. (J Environmental
a Ambion
h. (J Other
DAILY AIR SAMPLE RECORD
0
Sample }.D.
Number
11.
Location
13. Time (24
hrs clock)
14. Flow Rate (L/min.)
Pump 12
Number AWA
12c. Sample Coordinates
13a. Start
13b. End 113c. Total
14a. Start |14b. End
Avg
15.
74b,__| Total Air Vol.
16.
(liters)
# Fibers/Fields
Minus Blank
17.
Fiber Conc. F/CC
Cc) |
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Field Blank
Field Blank
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LAB INFORMATION
(ATC ELAP # 10879, ATC NVLAP # 1187)
Belinquished By:
Received By: 2
0. Date: | 21. Time:
22. Lab Name:
23. Date:
24. Time:
("PLN O
PH MLE
9/1444 |
a. Analyzed By:
Ll: BE: LILY
LO.
b. QC By
c. Lab Batch #:
169¢Y
25. Microscope Make/Serial #
> proc Labophot 238913
CJ Nikon Labophot 238917
{J Nikon Labophot 239079
TG my Manager:
Ke)
Cree
Beeper‘Phone #'s
Result To: Avel
28. Comments:
TEM -
Analysis. ‘Methodology
(Pom-y =ylOsH 7400A
AHERA
WHITE - File
YELLOW -
Client/Report
PINK - Lab
GOLDENROD - Field
NY-1 (1/01)
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000102835Source: NYC Law Department, mirrored locally