Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

AIR MONITORING DATA Page I of TURNAROUND TIME AND □ 2 hrs □ 6 hrs I 148 hrs L/pStandard ASSOCfATES INC P,,. , CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs □ Other PROJECT INFORMATION 1. Client: 2. p,.lea Mame 0 4 P,.,ec.M.„« 4c. Rotameter Number;

3a. Task# 8. ^2^EM (0.45 micron MCE) 9. Type; c. 0Abatetnent FOate^ 6. Abatement Location: r- I I PCM (0.8 micron MCE) f. □ Environmental Cassette/Eilter Manufacture /L/i^ a. □ Background d. □ Posl-Abate g. □ Ambient Cassette/Filler Manulaclure _ 9'~25‘-O ^I- Oo /yVi/Z tot# _______________ to.# fl3li6i7& b. □ Pre-Abate e. □ OSHA h. □ Other

DAILY AIR SAMPLE RECORD 10. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. Sample I D. Pump 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC 12a. 12b. 12c. Sample Coordinates (liters) Number Number IWA OWA Avg Minus Blank

/ Field Blank

Field Blank

___a3. l/ 26-' 52/0L/3y_20i^ (2 _ ’ — / 6'52 /O- c 2? S' n. 6: ' o /O- / JZ /O> (S -'d 6 102// 2^/S' fO-C^ fo. 2 6 ■ 3/O'- 7 j 62/0 0 Io, o /o- n 2 /o' Oo A/z/Z^^TT-y Zo •' 76 /o ' ^'0 2<-j I o ■ e» IY / 7/ /Zi/y ✓ 6 ■'2/3/026 2^s- /z;. 6 -ao- Qn-'^ ZoZ/TZyOy 6 ■ /C/'.5C' 3/// / 6 >0 /o. o ^60'1 Z///Zi/77y 6:^/7 /cl: 22 / 0'0 /C/' o 7(0' 2o^;c I 2 py y Zo^Z^uyy 6 ■ /£f:67 2 IO, O/i^. 07 1 6:5‘c/o: 2 6 lo. o /ei. c 071 O-OOoo/ :3f /CO 66 2 I 0, D c /y LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) CHAIN 6f custody 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: 18. Rglinguished By: 19. Received By: □ Nikon Labophot 238913 Y. ^//T 11 < 2- 22 ■' /2 _____ a. Analyzed By: b. QC By: □ Nikon Labophot 238917

c. Lab Batch #: □ Nikon Labophot 239079 Ill Analysis Methodology 26. ATC Project Manager: 28. Comments: 27. Result To: ..... ........ PCM - NIOSH 7400A TEM - AHEFtA

WHITE - File YELLOW - Client/Report PINK Lab GOLDENROD - Field NY-1 (1/01)

NYC-WTC_000174156