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NYC-WTC_000102862
AIR MONITORING DATA
ASSOCIA
QJECT INFORMATION
AND
CHAIN OF CUSTODY FORM
Page ot
TURNAROUND TIME
(2 hrs
(7 4hrs
O6hrs []48hrs
O24hrs (72 hrs
(] Standard
(J Other
2. Project Name Goa mn 7
3. Project #
4. Project Monitor: che
Qn
2a. Project Access “OO ch Vy Prev -
"SOO |
4a, Air Sampler: Yet ALE ei “as
4c. Rotameter Number:
on ACI
28!" Ear
6. Abatement Location: 7. [YL PCM (0.8 micron MCE)
Cassette/Filter Manufacture LACKRRYE
Lot #
8. [_] TEM (0.45 micron MCE)
Cassette/Fittar Manufacture
9. Type:
a. [-] Background
b. [7] Pre-Abate
c. -Kbatement ~
d. [] Post-Abate
8. [] OSHA
f. [] Environmental
g. ] Ambient
h. (9 Other
LY AIR SAMPLE RECORD
Sample |.D.
Number
11.
Pump
Number
Location
13. Time (24 hrs clock)
12c. Sample Coordinates
13a. Start
13b. End |13c. Total
14a. Start {14b. End =| 14b.
Avg
14. Flow Rate (L/min.} 15,
Total Air Vol.
16.
(liters)
# Fibers/Fields
Minus Blank
17.
Fiber Conc. F/CC
O'\
OL
Field Blank
Field Blank
“hee
VE
Prev@ ArT 9 29"
Plou |
| 10
(SIS
£0,063
4 .
AM ROO sot 2 2S"
imleeys
120
IS] 6
ISCO
s00 Goo
LOKCS
SIU Aon LAUDPY
LOO 2ST Fcc.
p- [120
iS |K&
SOAUS IWR CE _DE™
uv
~ 1120
IS | IS
Or
4
on
o
a
onssrov Cr 2ET
[20
rk |/S
“0.004%
A {00
N OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
Relinquished By:
YF 7
19. Received By:
20. Date:
22. Lab Name:
23. Date:
24. Time: |, | 25. Microscope
4
7
a. Analyzed By: a Lh Yip Wa 1M i
b. QC By:
yur (1 Nikon Labophot 238917
pt bent
Lille im
c. Lab Batch #:
LLOVY.
(2 Nikon Labophot 239079
TC Project Manager:
epe0
6,
27. Result To:
Beeper/Phone #'s
28. Comments:
Analysis Methodology
CM - NIOSH 7400A 5
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_000102862Source: NYC Law Department, mirrored locally