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

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z 228 East 45th Street o o New York, NY 10017 WARREN & PANZER ENGINEERS, P. C. PAGE OF CD

I io (212)922-0077 Fax (212)922-0830 Am MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM 24 hr'*’/a rTzTr^/sJ^ 6 hr'*'/a 3 hr^/a Immediate ■*’/a P.O. “0 c CT o o o' o W&P FILE#: OrC 1 "0 o> o CLIENT: _____________________ LABORATORY: CONTACT; co 9L o> ro PROJECT: 6— ANALYSIS METHOD; I TEM TEM O o LOCATION; /CV circle one 7- AHERA EPALEVELB o c TECHNICIAN; 3 o 3

:§AW!Le- SAMPLE Pump f^OWBAiE :■ TIME TOTAL VOLUMECONCENTR NUMBER DESCmPTKMK0CATiON ;T*PE: JSIABT STOP TIME / ^(liters) ; Ji{fibVccJ

8 I ftr /< 675" I I i f

I I / r9 b3 J f 1 ____________ ______________ I IJ 7A/ /□ / zr 675- /cL ± 0.0

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COMMENTS;

SAMPLE BY: DATE: SIGNATURE: SAMPLE TYPEQODES RELEASED BY: aE: 1 - Blank 5 - Final Clearance (inside) SIGNATURE: _______________ 2 - Pre-Abalemenl 6 - Final Clearance (outside) RECEIVED BY: DATE^pAz/r 3 - During Abatement 7 - Personal SIGNATURE: ___ 4 - During Glove Bag Removal 8 - Background (Z SEE BEVERAF StnF FOR AWAIVCic