NYC- ) 02854
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OJECT INFORMATION
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CHAIN OF CUSTODY FORM
| — 4nrs Az ay Tirs _ 72nrs
__ Other
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Savile
3. Project #
4. Project Monitor: ii yi bis
LC,
4c. Rotameter Number:
—
Project Address Loa C di aN Ders
3a. Task #
4a. Air Sampler: Ke Y/
Fw-ol
4 OuPhes Location;
3 FL
HO oly
Ci /Fifter M
d 7. [_] PCM (0.8 micron MCE)
Lot #
Lot #
8. [_] TEM (0.45 micron Mce)
Cassette/Filter h 8
9. Type:
a. [-] Background
b. 7] Pre-Abate
c. (| Abatement
d. 7] Post-Abate
6. [|] OSHA
f. [] Environmental
Ambient
h. (] Other
AIR SAMPLE RECORD
11. ' (12. Sample Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15.
ple 1.D. Pump
mber Number 148,
IWA
2c. 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
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Field Blank
Field Blank
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OF CUSTODY
LAB INFORMATION
(ATC ELAP # 10879, ATC NVLAP # 1187)
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ceived By:
20. Date:
22. Lab Name:
24. Ti
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a. Analyzed By: 74 S/S
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25. Mi
icragc Make/Serial # eo.
gm éphot a3gai3 4
ZA, ;
b. QC By:
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{J Nikon Labophot 238917
c. Lab Batch #:
742
{_J Nikon Labophot 239079
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AT.
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28. Comments:
Analysis Methodology
4
TEM - AHERA
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_000102854Source: NYC Law Department, mirrored locally