NYC-WTC_0001 04542
CVATC
ASSOQOCIAT
OJECT INFORMATION
et MONITORING DATA Ec
AND
CHAIN OF CUSTODY FORM
=, =o on
(J) 2hrs
1 4hrs
TURNAROUND TIME
(}6hrs []48hrs
(J) 24hrs (]72hrs
(1 Standard
(1 Other
|. Client:
Project Name
3. Project #
eA isla us bs! f
4c. Rotameter Number:
AIS 07
3a. Task #
4a. Air Sampler:
SD S2
Thibeeg
hy bf
6. Abatement Location
7. “tet (0.8 micron MCE) iy, —
a
Cassette/Filter Manufacture . At L
8. [J TEM (0.45 micron MCE)
ws OLOS5 SI/S-
Cc Fitter Manufacture ae
Lot # -
9. Type:
a. (] Background
b. [ Pre-Abate
c. (| Abatement
d. (] Post-Abate
8. [_] OSHA
f. ([] Environmental!
g.{] Ambient ,
=
bes other Fi bat Y
™.
DAILY AIR SAMPLE RECORD
11. 12. Samp
ocation
13. Time (24 hrs clock)
14. Flow Rate (L/min.}
oy
18. 16. 17.
Sample 1.D.
Pump
Number 18
Number | {WA
2c. 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
re
oo
Field Blank
Field Blank
Holtws
SO PL.
16 YO
lQYO! BO
[O
(D
Le Ufc
L200
Holuwey
VY OrL*
loys |i Qus| to
WD
0
oh
K YO Lave >
Vr
alls e 7
gSO|9S0) HO
LO
AO é hyo| Leow
a
[esf |19SS| Be
|O
/
gOO
tH “WO Loe
in
[foo JOO0 RD
IO
b
Res [Yo of
BO
(O
(0
QD
ILE
Wh
HAIN OF CUSTODY
7
LAB INFORMATION (AJC FLAP # 10879, ATC NVLAP # 1187)
{A Bpingisheg ay:
Received By:
20. Date:
21. Time: | | 22. Lab Name:
ae |
23. Pate: 24,
Time: | | 25. Microscope Make/Serial #:
eae
VPUZZZZ.
a)
) a. Analyzed se Cedilt| /
Ll ee
GaNikon Labophot 238913
t
yd /5|
A
b. OC By:
(_] Nikon Labophot 238917
c. Lab Batch #:
GIESBY
(J Nikon Labophot 239079
TC Project Manager:
e Ruth, cf
Beeper/Phone #'s
Result To: Ete Butehe why
28. Comments:
Analysis Methodology
eo NIOSH 7400A
TEM - AHERA
WHITE - File
YELLOW - Client/Report
PINK - Lab
GOLDENROD - Field
NY-1 (1/01)
OSs
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000104542Source: NYC Law Department, mirrored locally