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

z PAGE ) OF ) o z 228 £a«l ♦5t», Street NewYork, NY 10017 WARREN & PANZER ENGINEERS, P. C. co o AIRjyONlTORINC LOG SHEET/CHAIN-OF-CUSTODY FORM a l" (212} 922-0077 Fax (212] 022-0830 Z^hr+Za pi2hr'*‘/a 6hr+/a 3hr^/a Immediate ^/a P.O. “0 c CT o W&PFILE#: lO^S »Q^ o' o o CLIENT: f?^7o "0 LABORATORY: Go _7~ CONTACT: o 03 3. 03 OO PROJECT: GYTo ANALYSIS METHOD: TEM TEM O O LOCATION. circle one „ <7400^ AH ERA ERA LEVEL II o o TKHN!C!ANL^^£*iy Av^Rh^^ c 3 o I Z5 SAMPLE SAMPLE SAMPLE PUMP FLOWRATE . TIME TOTAL VOLUME CO rm, TYPE START STOP TfllBE (liters) # ■

NUMBER DESCmPtlOMn-OCATION ON OFF (ftbJcc.) ~g~ //y <9 ZB ' 67^ <0.00^

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COMMENTS:

SAMPLE BY: Z DATE: SIGNATURE; ------------------ i

& SAMPLE TYPE san RELEASED BY; .’ DATE; 1 - Blank 5 - Final Clearance (inside) SIGNATURE: 2 - Pre Abatement 6 - Final Clearance (outside) RECEIVED BY: DATE: 3 - During Abatement 7 - Persona) SIGNATURE; 4 - During Glove Bag Removal^ 8^ Backgrounds^ SEE REVERSE SIDE FOR ANALYSIS INFORMATION