NYC-WTC_000107671
ASSOCIATES
PROJECT INFORMATION
VATC
geoy ayhos
AIR MONITORING DATA
AND
HAIN OF CUSTODY FORM
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Page | of 3 :
TURNAROUND TIME
[16hrs [48hrs [7] Standard
[]24hrs f)72hrs [) Other.
{]2hrs
[} 4 hrs
V—_
Client:
EP
2. Project Name D Ee
I
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. 3. Project #
CE eau ~ YP
4. Project Monitor:
[7-228 06-9002
4c. Rotameter Number:
2a. Project Address )2 S Ce ar St.
3a. Task #
Ww
e9000%u
4a. Air Sampier: E.
Sh-906
é Cmarnoviel
6. Abatement Location:
§ 18.2 |[Accundl
7. EJ PCM (0.8 micron MCE)
Cassette/Fitter M
B. [WA TEM (0.45 micron MCE)
g
Lot #
Cassette/Fitter Manulacug
Lot #
9. Type:
a. (J Background
b. (] Pre-Abate
Cc. ["}] Abatement
d. (7] Post-Abate
e. [J OSHA
{. [7] Environmental
g. ('] Ambient
h. [WOtherC@e Cw
DAILY AIR SAMPLE RECORD
1 11. 12. Sami
Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15. 16. 7
, Sample [.D.
Number
Pump
Number
12c. Sample Coordinates
13a, Start |13b. End 1
3c. Total | 14a. Start
Total Air Vol. Fiber Cone. F/CC
(liters)
# Fibers/Fields
Minus Blank
14b. End =| 14b.
Avg
C\
on
Field Blank
Field Blank
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06‘2ONO NO
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CHAIN OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
18. Balinquished By:
19, Received By:
20. Date: | 21. Time:
22. LabName: 470 — TE/Y7
23. Date: | 24. Time: | | 25. Microscope Make/Serial #:
Co Ceuowwicl
4 18 2
a. Analyzed By:
{] Nikon Labophot 238913
Peohele:@
FTE FItEled (6% 90] |b acey:
Te
{] Nikon Labophot 238917
c. Lab Batch #:
[7] Nikon Labophot 239079
26. ATC Project Manager:
F. Burk Rarel t
27. Result To:
28. Comments:
Beeper/Phone #'s
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_000107671Source: NYC Law Department, mirrored locally