VATC
SSOCIATES
ROJECT INFORMATION
Client:
tntøi
AIR MUNTORING DATA
AND
CHAIN OF CUSTODY FORM
Date:
6. Abatement Location:
2. Project Name T TI CerEi
3. Project #
2a. Project Address
10SX11n1LS73a Task#
7. ПPCM (0.8 micron MCE)
8.E] TEM (0.45 micron MCE)
Cassette/Fitter Manutacture _
Lot#
caesture Nanuesi G +416
age
TURNAROUND TIME
]2 hrs
• 6 hrs
• 48 hrs
• Standard
•4 hrs
• 24 hrs
• 72 hrs
• Other _
4. Project Monitor, j (-$77T T 1eT7txląc. Roameter Numer.
4a. Air Sampler:
! Xr
9. Typе:
a. • Background
b. • Pre-Abate
с. • Abatement
o. • Post-Abate
e. DOSHA
f. • Environmental
g.• Ambient
h. DOther
AILY AIR SAMPLE RECORD
11.
Sample I.D.
Number
Pump
Number
12. Sample Location
12a
IWA
OWA
12c. Sample Coordinates
13. Time (24 hrs clock)
13a. Start
13b. End
13c. Total
14. Flow Rate (L/min.)
14a. Start
14b. End
Field Blank
Field Blank
Yen ze
201
Avg
Total Air Vol.
(liters)
16.
# Fibers/Fields
Minus Blank
Fiber Conc. F/CC
12
1/'1
HAIN OF CUSTODY
3. Relinguished By:
Dalie
Apt #I3A
AJ#3TE
22052415B
22:0
V20!
lir:
100161
Bon
10012300
!i.!!
ATH33E
221824273.
Apt#,3242220243
lcepoceln
Apt #31B
22:2524330
Ait it
293 22:30214170
ice foi
AFHVC
770р0
701T
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187)
19. Received By:
20. Date:
21. Time:
22. Lab Name:
23. Date:
a. Analyzed By: ( Bo e
Wlcin
fast
b. QC By:
c. Lab Batch #:
i. ATC Project Manager:
Clnglaiitt
27. Result To:
E Purheit
28. Comments:
Beeper/Phone #'s
25. Microscope Make/Serial #:
• Nikon Labophot 238913
• Nikon Labophot 238917
•] Nikon Labophot 239079
Analysis Methodology
PCM - NIOSH 7400A
• TEM- AHERA,
WHITE - File
YELLOW - Client/Report
PINK - Lab
GOLDENROD - Field
NY-1 (1/01)
NYC 9/11
Public Portal
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