NYC 9/11 Public Portal Document
Page of
AIR MONITORING DATA
M%TC S S O C I A T E S I N C.
r
AND
HAIN OF CUSTODY FORM fl 2 hrs
4 his
TURNAROUND TIME
[] 6 hrs 1_148 hrs
❑ 24 hrs [J 72 hrs
[--1 Standard
_I Other
IOJECT INFORMATION
Client: 2. Project Name f 1„ 3. P ct/ 4. Project Monitor: 4c. Rolanieter Number:
2a. Proje I ddr s ( ✓ > S' 3a. Task # r S tuAley,
[-:. ca dV 7 c:i _L
Date: 6. Abatement Location: 7. Q P 8 micron MCE) 8. © T-E,M_IO.45 micron MCE) 9. Type: c. j] Abaiement t. [J Environmental
Manufacture Cass'eUe/Filter Manufacture a. [J Backg. mnd d. [] Post-Abate g. ❑ Ambient
)i1 ) /.t ' 6 r ! r r v Lot C Lot C (~ ~ ~.+ b. ❑ Pre-At e e. (] OSHA
111 V AIR RAMPI F RF(CIRfl
11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (Limin.) 15 16. 17.
Sample I.D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 11b. End 14b. Total Air Vol. # Fibers,Fields Fiber Conc. FiCC
Number Number IWA OWA Avg (liters) Minus Blank
Field Blank
` Field Blank
vi ' ,2 4 Sc l
e_ 1/u) ~: ~J% `I /Y3 22°i : 4 it /` O
JA1AI AC r'i ICTf V LAB INFORMATION (ATC ELAP # 10879. ATC NVLAP # 1187't
linquished B . 19. Received By: 20. Date: 21. Time: 22. Lab Name: fh o 23. Date: 24. Time: 25. Microscope Make/Serial #:
a. Analyzed By: ~ ' , LI Nikon L.abophot 238913
b. QC By: [] Nikon Labophot 238917
c. Lab Batch #: O Nikon Lahophot 239079
-- Analysis Methodology
ATC Project Manager: • 28. Comments:
27. Result To: y' PCM - NIOSH 7400A
/-/ / Beeper/Phone #'s _
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY-1 (1,01)
NYC-WTC 000107926
OCR can misread numbers and units. Confirm readings against the page image before using them.