NYC-WTC_0001 Ve
ASSOCIATES
OJECT INFORMATION
Ww?
tC = = wR MONITOR
CHAIN OF CUSTODY FORM
TORING D. DATA
AND
= = -_
Page
[12 hrs
(14 hrs
TURNAROUND TIME
CJ 48 hrs
C24 hrs [7] 72 hrs
(] 6 hrs
d_|Standard
CU] Other _
Project Name
3. Project #
ep pret Mong?
) Ac. Rotameter Number:
TO eS ene a7 MYL? S
3a. Task #
4a. Air Sampler:
user soe ls Vv
S)-/32
— Locati
7. [] PCM (0.8 micron wa
Cassetle/Fitter Manufacture
8. an (0.45 micron MCE)
acluse Att a
Lot #
9. Type:
b. J Pre-Abate
a. [-] Background
¢. (] Abatement
d. [7] Post-Abate
8. {/] OSHA
f. (J Environmental
sR ambient
h. [] Other
Y AIR SAMPLE RECORD
a
Sample ID.
ocation
13. Time (24 hrs clock) 14. Flow Rate
(Limin.}
12. Samp
Nutter 12a, 112b
IWA | OWA
Number
==
2c. Sample Coordinates
13a, Start [13b. End = [13c. Total | 44a. Start
14b. End
14b,
15.
~~] Total Air Volt.
16. 17.
# Fibers/Fields| Fiber Conc. F/CC
Minus Blank
>
Al
Field Blank
TT
Field Blank
Avg
(liters)
A P+ 4
}f 2
[Y30]16YO N30
SPO
[Yas] iGus ise
Reo
[YY eso 30 |t
(3OO
Ss
A
Cc
(R00
APY #
[6 E
[870 | IOZAISO | 10
(200
APY A
Palit
(6 Fre «
(O
M625 O38) 1SO
(0
cS)
(300
N OF CUSTODY
LAB INFORMATION
(ATC ELAP # 1
0879, ATC NVLAP # 1187)
1 Bsloauihed py]
Received By:
20. Date:
21. Time: | {22. Lab Name: CON,
23. Date:
24. Time:
~/
fia Spy h
C
(ofa
OK eG a. Analyzed By:
25. Microscope Make/Serial #:
[_] Nikon Labophot 238913
b. QC By:
c. Lab Batch #:
__]
{-) Nikon Labophot 238917
(J Nikon Labophot 239079
C Project Manager:
el Bernha vet
28. Comments:
Result To: . Re mn hey pol ¥
Beeper/Phone #'s
Analysis Methodology
PCM - NIOSH 7400A
TEM - AHERA
WHITE - File
YELLOW - Client/Report
PINK - Lab
GOLDENROD - Field
NY 4 (Qt)
NYC 9/11 Public Portal Document
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NYC-WTC_000104090Source: NYC Law Department, mirrored locally