NYC-WTC_000115327
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228 Eant 48th Sireat
Naw York, NY 10017
(212) 922-0077
Fax (212) 922-0630
CLIENT:
WARREN & PANZER ENGINEERS, P. C. PAGE. SOF «yw
AIR MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM
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PROJECT:
LOCATION:
circle ons 7400 _{AHEFUY EPA LEVEL fl
TECHNICIAN: /
“SAMPLES:
“NUMBER”
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escdieTIOnA OGATION eTYPE [3230 START: STOP: ~ ONG 27. OP R21 TIME 2): Gilera) | {Mlb ee,)-
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EOPPR AR EIT ATEN
SAMPLE BY:
SIGNATURE:
0201-048
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‘SAMPLE TYPE CODES —
RELEASED BY:
+ - Blank - Final Clearance (inside)
SIGNATURE:
i_\ 2 - Pra-Abatement 6 - Final Clearance (outside)
RECEIVED BY:
SIGNATURE:
DATE: _4lig Ph 3 - During Abatement 7 - Personal
is 4 - During Glove Bag Removal [8 - Background
a 4 f SEE REVERSE SINE FOR ANALYSIS INFORNATION
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NYC 9/11 Public Portal Document
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NYC-WTC_000115327Source: NYC Law Department, mirrored locally