2
W/ AIR MONITORING DATA page ot
AND TURNAROUND TIME
Seseianis tte COC 3 CHAIN OF CUSTODY FORM wee Ger, Gan Fem
ROJECT INFORMATION
NYC-WTC_000104472
Client: 2. Project Name 3. Project # 4. Project Monitor: . 4c. Rotameter Number:
3a. Task # 4a. Air Sampler:
IOS DuANE EET M- SER{K]
2a. Project Address
Date: 6. Abatement Location: 7. [_] PCM (0.8 micron MCE) 8. x TEM (0.45 micron MCE) 9. Type: c. [] Abatement f. (J Environmental
Ar’Ts:- dy. ! LA ~ 2IE { iter Manuf Cassetle/Fitler Manufacture a. [] Background d. [1] Post-Abate g. | Ambient
12-N5-D} . Lot # Lot # b. [J Pre-Abate e. (] OSHA h. (] Other
AILY AIR SAMPLE RECORD ‘
. 11. 12. Sample Location " 13. Time (24 hrs clock} 14. Flow Rate (L/min.) 15. 16. 17.
Sample LD. Pump {12a [12b _ ]12c. Sample Coordinates 13a. Start |13b. End |idc. Total | 14a. Stan |14b. End [14b. | Total Air Vol.| # Fibers/Fields| Fiber Conc. F/CC
Number Number IWA | OWA . Avg (liters) Minus Blank
Field Blank OPEN an . oe a
INSIDE SHE Livinl da |
O77 ROOM of ART. 4-y* poz Tos] (ROY 1B | te [lo
aw? - . vis 6 a Vath yt " a * * ‘ 7; wh
Cbs Msi THE Laythicy (KPO e008 [ZO LO 1 fo LO een
(COM OF fi ue ALE
HAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
18. Relinquished By: { i ! 19. Received By: 20. Date: | 21. Time: | |22. Lab Name: Via -7E Wd 23. Date: | 24. Time: | | 25. Microscope Make/Serial #.
8 ferns afi a. Analyzed By: RRL 12.6 aw (| Nikon Labophot 238913
STO fd foe Keete, b. QC By: UV : (] Nikon Labophot 238917
ll c. Lab Batch #: [] Nikon Labophot 239079
26. ATC Project Manager: Analysis Methodology
7] os i
27. ResutTo. OREN DAM ft. PCM - NIOSH 7400A
LED. Taicis HARD T | peeperPhone es 212 Baw 77 YZ TEM - AHERA
28. Comments:
Fy AR RE
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY 1 (1/01)
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000104472Source: NYC Law Department, mirrored locally