NYC-WTC_000104087
CVAT
ASSOCIATES 1}
ROJECT INFORMATION
|
NC
SPGQ
Yo f/f
AND‘
CHAIN OF CUSTODY FORM .
CDI S te Pe
mH HH He HR we HE EE ES
AIR MONITORING DATA
of a
Page |
(J 2 hrs
pee O4hs [)24hrs [)72hrs
TURNAROUND TIME
O6hrs ([]48hrs
("J Standard
(J Other
>
Client:
2. Project Name
3. Project #
fit
> T
4. Project Manito?! ey yf J fee dl
2a. Project Adqress
; i
wa €
3a. Task #
4a. Air Sampler:
4c. Rotameter Number:
5. Date: "6. Abatement Location:
7. [_] PCM (0.8 micron mce)
Cassette/Filter Manut f
Cassette/Filter Manufacture wis
Lot # a
8. [_] TEM (0.45 micron MCE} A! Va
9. Type:
aye) fy eo
Lot # MIE? EPS ty
a. (] Background
£
b. [7 Pre-Abate
c. ( Abatement
d. [] Post-Abate
e. (] OSHA
{. (] Environmental
g.{_] Ambient
“h. (1 Other
DAILY AIR SAMPLE RECORD
11. . (12. Sam
ple Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15. 16. 17
Sample 1.D.
Pump
Number i 13
Number
12c. Sample Coordinates
13a. Start
13b. End = {13c. Total | 14a. Start
14b. End
14b.
Avg
Total Air Vol. | # Fibers/Fields Fiber Conc. F/CC
(liters) Minus Blank
|
Field Blank
Field Blank
HAIN OF CUSTODY
LAB INFORMATION {ATC ELAP # 10879, ATC NVLAP # 1187)
19. Received By:
21. Time:
22. Lab Name: TElt4
24, Time:
25. Microscope Make/Serial #:
18, Relinguished By:
a eu
a ee
Ofer
a. Analyzed By:
(J Nikon Labophot 238913
wu!
LAGE te
VY F
b. QC By:
(] Nikon Labophot 238917
c. Lab Batch #:
{_] Nikon Labophot 239079
26. ATC Project Manager:
27. Resuit To: to
> [>
Tt
Beeper/Phone #'s
28. Comments:
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 Document
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NYC-WTC_000104087Source: NYC Law Department, mirrored locally