NYC-WTC_000102856
ASSOCIATES IN
tOJECT INFORMATION
AIR MONITORING DATA
AND
CHAIN OF CUSTODY FORM
(9 2 hrs
C4 hrs
e-pte ae
“TURNAROUND TIME
OO6hrs ([)48hrs [7 Standard
f424hrs (]72hrs [_ Other
2. Project Name Busi1wy Aiv2
3. Project #
4. Project Monitor: AA IW
T
4c. Rotameter Number:
2a. Project Address UOCO CW AMA pee iH bY
8a. Tash ; >\
4a. Air Sampler:
ft
SQOS=]
ATIC A
6. Abatement Location:
7-10 “Ol
2Zn0 Flcor
7. [XG PCM (0.8 micron MCE)
Cassette/Filter Manutacture BLCV COO 2
Lot #
8. [_] TEM (0.45 micron MCE)
Cassette/Filter Manuf
9. Type:
a. (] Background
Lot #
b. [] Pre-Abate
Lars _] Abatement
d. (J Post-Abate
6. [] OSHA
f. [] Environmental
g. Akt Ambient
h. [7 Other
\ILY AIR SAMPLE RECORD
11. 12. Sample Location
13. Time (24 hrs clack)
14. Flow Rate (L/min.)
15. 16. 17
imple 1D. Pump
mber Number 18,
12b
IWA | OWA
12c. Sample Coordinates
13a. Start
18b. End /13c. Total
14a. Start | 14b. End
Total Air Vol. | # Fibers/Fields Fiber Conc. F/CC
Mb. (liters) Minus Blank
Avg
—O!"__
OZ.
Field Blank
Field Blank
OP
af
or
7S} (SCO L000 8
am
TASER BOT 2 220
Picow
02
00 Weg LO. 003
Tw) Cente? eC 72rd
aaleae
ROO L0.00%
Ol
ZOTHENO CK 292-0
lone :
[BOO £0.60 3
oF
KOVTHOaWt CE 272 pin
Hood
I< [\g0O eoees
JAIN OF CUSTODY
LAB INFORMATION {ATC ELAP # 10879, ATC NVLAP # 1187)
. Relinquished By:
19. Received By:
20. Date:
21, Time:
22, Lab Name:
2 23. Date:
24, Time:
a. Analyzed By: pA ttltad
OF 20.09
eo ope Make/Serial #:
ES
oOphot 238913
EEE
cet. LELeawep ee dba
b.acBy, ‘~
(] Nikon Labophot 238917
c. Lab Batch #: 4 L023
{_] Nikon Labophot 239079
. ATC Project Manager:
PED. ‘p)
Result To:
28. Comments:
Beeper/Phone #'s
Analysis Methodology
< PCM - NIOSH 7400S
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_000102856Source: NYC Law Department, mirrored locally