ASSOCIATES
PROJECT INFORMATION
VAT C
AIR MONITORING DATA
AND
CHAIN OF CUSTODY FORM
Page ie of
(2 hrs
(4 hrs
6
(124hrs [}72 hrs
TURNAROUND TIME
hrs (]48hrs [Standard
{] Other
Client:
yas Name h, b ; er % e + ;
3. Project #
4. Projeet Monitors Cc P L340. tf ¢ )
4c. Rotameter Number:
2a. Project AadiesG 7 O 0) C lh SA
4a. Air Sampler:
Hr //s
NYC-WTC_000102840 —
we al 6. ain “Le
7. [APC (0.8 micron MCE}
Cassette/Fiter Manufacture
8. [_] TEM (0.45 micron MCE)
Casseite/Fiiter Manufacture
Lot #
Lot #
9. Type:
a. (] Background
b. [] Pre-
Cc. {_] Abatement
d. [1] Post-Abate g
e.{] OSHA
Abate
f. (J Environmental
Ambient
h. J Other
JAILY AIR SAMPLE RECORD
0
14.
Location
13. Time (24 hrs clock)
14. Flow Rate
(U/min.) 15.
Sample 1.D.
Number
Pump
2a, {12b.
Number WA | OWA
12c. Sample Coordinates
13a. Start }13b. End /13c. Total
14a. Start
14b. End = | 14b.
Avg
Total Air Vol.
16. 17.
# Fibers/Fields| Fiber Conc. F/CC
(liters) Minus Blank
Field Blank
Field Blank
a
5S
[2U}
/sd
15.0
ISizioo
LE CEC.
DG
a Bl20e |
[So
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ru Oo”
LC. 002,
om
ae
[SG
Sd 1IG
ad / S|
ta
V0.00 2.
a
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> TT
[ SIS Le44| pep |
iSO
ISVS
21S |
OOOF
You
>
Reve Qw 5G
YoYo lo
14h
}S.0
ISOS
(Hu 30
Vise LO.60 4
HAIN OF CUSTODY
LAB INFORMATION
(ATC ELAP # 10879, ATC NVLAP # 1187)
18. Relinquished By:
Received By:
20. Date:
21. Time: 22. Lab Name:
af
23. Date:
CHYLUSO
Ng dd H/o
a. Analyzed By: 4 ’ tp
We Lt
25. avi Make/Serial #:
Nikon Labophot 238913
b. QC By:
( Nikon Labophot 238917
c. Lab Batch #:
G97 6.
(J Nikon Labophot 239079
ATC Project Manager:
L ude. k hae
Result To:
Beeper/Phone #'s
28. Comments:
TEM - 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_000102840Source: NYC Law Department, mirrored locally