NYC-WTC_000102836
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OJECT INFORMATION
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HAIN OF CUSTODY FORM
2h (—)6nrs
0 4hrs
TURNAROUND TIME
_, 48 ns
(0 24hrs [] 72 hrs
_, Standard
(J Other
Client:
FEM CA,
St:
3. Project #
4. Project Monitor Cc OLY 50
4c. Rotameter Number:
2a. Project Address gee 5 CH payeg ec. ¢ r 3a. Task #
4a. Air Sampler:
HP 113
Date: 6. Abatement L
44-0] | Las
7. BRON (0.8 micron MCE)
Fitter M:
8. [| TEM (0.45 micron MCE)
C fFilter e
9. Type:
a. (] Background
Lot #
Lot #
b. [] Pre-Abate
c. (J Abatement
d. [) Post-Abate
6. [-] OSHA
f. Environmental
g. SAmbient
h. (] Other
DAILY AIR SAMPLE RECORD
11. 12. Sam
ocation
13. Time (24 hrs clock)
14, Flow Rate (L/min.)
15. 16. 17.
, Sample |.D. Pump [fo
Number Number TWA
12c. Sample Coordinates
13a. Start {13b. End
13c. Total
14a. Start | 14b. End
4b, _| Total Alr Vol.) # Fibers/Fields} Fiber Conc. F/CC
Avg (liters) Minus Blank
Field Blank
Field Blank
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HAIN OF CUSTODY
LAB INFORMATION (ATC ELAP #
10879, ATC NVLAP # 1187)
Relinquished By:
Received By:
20. Date:
21. Time: | | 22. Lab Name:
23. Date:
24. Time: | | 25. Microscope Make/Serial #:
BC PKUSO
tO diial0
A a Anavees 8x. lc
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prison Labophot 238913
te
b. OC By:
LJ Nikon Labophot 238917
c.Lab Batch #: DOG F
(] Nikon Labophot 239079
TC Project Manager:
“Bunk Kr ye.
Beeper’Phone #'s
Result To:
28. Comments:
WHITE - File
YELLOW - Client/Report
PINK - Lab
GOLDENROD - Field
NY-1 (1/01)
NYC 9/11 Public Portal Document
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NYC-WTC_000102836Source: NYC Law Department, mirrored locally