ASSOCIATES
OJECT INFORMATION
ATR WOM
TORING DATA
‘AND
CHAIN OF CUSTODY FORM
Pepe a
TURNZROUND TINE
QO 2hrs
(1 4hrs
DD 6hrs
O124hrs []72hrs
(7 48 hrs CJ Standard
(J Other
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2. Project Name yor Mhew)
3. Project #
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4. Project Monitor: IA; ely L
4c. Rotameter Number:
2a. Project Address Ute Cite here
3a. Task #
4a. Air Sampler:
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NYC-WTC_000102852
6. Abatement Location:
Date:
ISR Allin)
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Cassette/Filter Manufacture
8. [_} TEM (0.45 micron MCE)
Cassette/Filter Manufacture
d 7. [S€PCM (0.8 micron MCE)
Lot #
Lot #
9. Type:
a. (j Background
b. [1] Pre-Abate
c. (] Abatement
d. [|] Post-Abate
e. {_] OSHA
f. Environmental
gka"Ambient
h. (J Other
LY AIR SAMPLE RECORD
11. 12. Sample Locatio
13. Time (24 hrs clock)
14, Flow Rate (L/min.) 15.
ample 1.D. Pump [79a
Number Number
12c. Sample Coordinates
13a. Start 113b. End
13c. Total | 14a. Start
14b. End ]14b. _| Total
Avg (liters)
16. 17.
Air Vol.| # Fibers/Fields| Fiber Conc. F/CC
Minus Blank
K-of
K-08
Field Blank
Field Blank
7 feu.
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HAIN OF CUSTOBY
8.Relinquishha BAY |
—_—
Received By:
20. Date: | 21. Time: 22. Lab Name:
23. Date: | 24. Time:
a. Analyzed By:
=
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ll
b. QC By:
oA
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E4.205
c. Lab Batch #:
SIE O€
25. Mi pe Make/Serial * t
ot 238913 T~
(J Nikon Labophot 238917
(J Nikon Labophot 239079
A
26. ATC Project Mangder:
f
27. Result To:
28. Comments:
Beeper/Phone #'s
Analysis-Methodolog
_ PCM - NIOSH 7400A
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_000102852Source: NYC Law Department, mirrored locally