NYC-WTC_000129772
Vi
ROJECT INFORMATION
BKYO
AIR MONITORING@@TA
AND
CHAIN OF CUSTODY FORM
6 22?0K6
von LC OY
02
04
hrs (1 6hrs
hrs (9 24hrs (72 hrs
TURNAROUND TIME
O48hrs (Standard
CZ Other
Client:
“kp
2 ProjectName er Cl (ans Kuye
3. Propel 06
4. Project Monitor Cc SO Lh m5 =
4c. Rotameter Number:
2a. Project Address 12. ~~ C eae") re TT
3a. Task #
Qa
4a. Air Sampler:
tr
Cy vo /
6. Abatement Location:
“uy
7. L_] PCM (0.8 micron mice)
Cassette/Fitter Manutacture
Lot #
8. LA TEM (0.45 micron MCE)
Cassette, Filter Mi,
9. Type:
a. Q Background
lot #
b. (J Pre-Abate
thAbatement
d. () Post-Abate
e.() OSHA
f. (J Environmental
9. CJ Ambient
h. 2 Other
AILY AIR SAMPLE RECORD
11. 12. Sample Location
13. Time (24 hrs clock)
14. Flow Rate (L/min.)
15. 16. 7
, Sample #.D.
Number
Pump 12a,
12b
Number IWA | OWA
12c. Sample Coordinates
13a. Start {13b. End 13c. Total
14a. Start. |14b. End
14b. ,
Avo (liters)
Total Air Vol.| # Fibers/Fields Fiber Conc. F/CC
Minus Blank
Field Blank
Field Blank
Close Bow
3
SY
LHailuy ay
FL
LEY arsy
so
then is ay
2 Ft
HySlrurst U0
co
a)
Slo
LAHitrsi ne, D/ea
CYenu “py
bys] rey
~ (2iere
v7)
WPtiwrnry Dow
uu) at TE
Wry
225% LY
co
lo Lyd
HAIN OF CUSTODY
LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
19. Received By.
20. Date:
21. Time:
22. Lab Name: Vim TE/T
23. Date: 24. Time:
25. Microscope Make/Serial #:
5. Relinquisheg6y\
L—
“Le [eho
Ran
a. Analyzed By:
Ue
OC Nikon Labophot 238913
(¥.-
_cl
1 —“
b. QC By:
Ke
F
CO Nikon Labophot 238917
c. Lab Batch #:
(_] Nikon Labophot 239079
~Beeper/Phone #'s
il
3. ATC Project fdanager:
: oy } ef; a To:
|
28. Comments:
Analysis Methodology
PCM - NIOSH 7400A
TEM - AHERA
WHITE - File
YELLOW - Client/Report
PINK - Lab
GOLDENROD - Field
NY-4 (1:01)
NYC 9/11 Public Portal Document
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000129772Source: NYC Law Department, mirrored locally