Air Monitoring Log and Chain-of-Custody Form, WTC Site

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z 228 East^aiSkaat PAGE o WARREN & PANZER ENGINEERS, P. C. o i New York, NY 10017 (212) 922-0077 AIR MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM co

o Fax (212) 822-0630 hrtj 12 hr^/a 6 lir’^/a 3 liZ/a Immediate ’’’/a P.O. “0 c o CT o W&PFILE#: /b'T^ ’ CD { - O 1 o> _x oo ro o> CLIENT: PROJECT: D.gT LABORATORY: ANALYSIS METHOD: TEM TEM CONTACT: o' "0 o 9L O LOCATION: circle one /^O AHEpA EPALEVELI! o o TECHNICIAN: -^^\Z(7/CCvO c 3 Q 3 SAMPLE SAMPLE SAMPLE PUMP FLOWRATE TIME TOTAL VOLUME CONCENTR, NUMBER OESCRIPTfONA-OCATION TYPE « START STOP ON OFF •nME; (liters) (fib./C€.)

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COMMENTS:

SAMPLE BY: DATE: SIGNATURE: SAMPLE TYPE CODES RELEASED BY: DATE: 1 - Blank 5 - Final Clearance (inside) SIGNATURE: _ 2 - Pre-Abatement 6 - Final Clearance (outside) RECEIVED BY: . ZZ^lTSnt^ DATE: 3 - During Abatement 7 - Personal SIGNATURE: 4 - During Giove Bag Removal 8 - Background SEE REVERSE SIDE FOR ANALYSIS INFORMATION AZ0^zia/D2