NYC-WTC_000103650
TESTWELI
47 Hudson Street, Gain
Client: Bot ;
ATORIES, INC.
N.Y. 10562
TEL (Q14) 944-
2570
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Air Sample Data Chain of Custody
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Pape <- Zz
PAX (914) 941-4154
Project #: | Ho- + O25 , 4A Ty:
Project Site:
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Hotel
Date: Ob f (90 t
Project Addres
Report to:
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Technician:
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Signature:
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Date Analyzed:
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Company
Analyst:
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Rotometer:
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ANALYSIS: LABORATORY USE ONLY
FIELD SAMPLE
SAMPLE # | TyPE
SAMPLE LOCATION
PUMP#
FLOW RATE
START/STOP
START | STOP
TIME | TIME
TOTAL
MINUTES
TOTAL __PCM# FIBERS/ RESULTS: RESULTS:
VOLUME __TEM# FIELDS | ffec 1 s/cc | f/mm*! s/nm?
/3!
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3/3} 1230 /
190? BO34
$2
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Relinquished by (signature)
Date/Time:
LE 1d
Received py (signate h 4. Date/Time:
4/ ii, | bboler
SAMPLE — 1 - Ambient 2 - Background ~ Pre-Test
CODES: 4 - During 5 - Final 6 - Personal/OSHA
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000103650Source: NYC Law Department, mirrored locally