NYC-WTC_000104347
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VW,
ASSOCIATES
PROJECT INFORMATION
AIR MONITORING DATA Page of
TURNAROUND TIME
i.
CHAIN OF CUSTODY FORM
AND
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D2 hrs
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i Paes
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Di6hrs (]48hrs
(24hrs (}72 hrs
(J Standard
(J Other
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Client:
2. Project Name
3. Project #
4. Project Monitor:, /
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2a. Project Address r 1
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3a. Task #
‘a. Air Sampler:
4c. Rotameter Number:
t
i
Date: 6. Abatement Location
7. [_] PCM (0.8 micron MCE)
Cassette/Fitter Manuf
8. |} TEM (0.45 micron mc}
Cassette/Filter Manut [neared
9. Type:
a. [] Background
c. [| Abatement
d. [] Post-Abate
f, (| Environmental
g. [-] Ambient
Lot # Lote eh yt b. [.] Pre-Abate e. [J OSHA h. [1] Other
DAILY AIR SAMPLE RECORD:
11.
mple Location
13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17
"Sample LD.
Number
Pump
Number
12c. Sample Coordinates 13a. Start |13b. End [13c. Total | 14a. Start [14b. End | 14b, _ | Total Air Vol.| # Fibers/Fields} Fiber Conc. F/CC
Avg (liters) Minus Blank
Field Blank
Field Blank
me
HAIN OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
18, Relinquished By:
20. Date: | 21. Time: | |22. Lab Name: OF glue gets 23. Date: | 24. Time: | |29. Microscope Make/Serial #:
FT
a oo.
f
b. QC By: LJ Nikon Labophot 238917
epee
c. Lab Batch #: J Nikon Labophot 239079
26. ATC Project Manager:
27. Result To:
8. Commenis: Analysis Methodology
PCM - NIOSH 7400A
TEM - AHERA
Beeper/Phone #'s
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_000104347Source: NYC Law Department, mirrored locally