NYC-WTC_000104317
ASSOCIATES
PROJECT INFORMATION |
ent;
AIR MONITORING DATA
STEG
AND
CHAIN OF CUSTODY FORM
Page __ vo °
O2hrs (6hrs
()4hrs [)24hrs (72hrs
TURNAROUND TIME
(J48hrs =] Standa
CJ Other
5. Date: 6. Abatement Location
2. Project Name
3. Project #
4. Project Monitor: /
cee Ut tg» | 4c. Rotameter Number:
2a. Project Address -f oS” A
3 UA
‘mula ra 3a. Task #
4a. Air Sampler:
, sy |
! 1 i
"
7. Ty Pom (0.8 vamon MCE}
8: 4 TEM (0.45 micron MCE) 9. Type: c. [] Abatement
, Casa arte 75 J f - a. [] Background d. [7 Post-Abate
tow 4 b. [] Pre-Abate e. J OSHA
AILY AIR SAMPLE RECORD
0
11. 12. Sample Location
Sample ID. Pump F
Number Number 12c. Sampie Coordinates
f. [] Environmental
g: [-} Ambient
h. 2 Other
Cassette/Filter Mi e
yO
Lot #
13. Time (24 hrs clock)
14. Flow Rate (L/min.) 15, 16. 17.
18a. Start |13b. End
14a. Start [14b. End] 14b. Total Air Vol.| # Fibers/Fields| Fiber Conc. F/CC
; Avg (liters) | Minus Blank
13c. Total
Field Blank
Field Blank
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hei (LU AL Gon i US
EG
: Ag EB Ey Y
ave 14 — Ef
—
me rd
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Tome tim nee
AIN OF CUSTODY
18. Relinquished By:
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
22.LabName. 0 <) 23. Date: | 24. Time: | [25. Microscope Make/Serial #-
eet erent
i
Pad ee ees C] Nikon Labophot 238913
c. Lab Batch #:
Sle BUY a. Analyzed By: asteqert 5
“ (] Nikon Labophot 239079
ATC Piplect Manager:
28. Comments:
I we yet
[. Se
Beeper/Phone #'s
Analysis Methodology
PCM - NIOSH 7400A
Resuit To:
_
WHITE - File
YELLOW - Client/Report PINK - Lab GOLDENROD - Fieid
HIV to etney
NYC 9/11 Public Portal Document
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NYC-WTC_000104317Source: NYC Law Department, mirrored locally