2 shared non-person entities · 1 shared topics · similarity 0.975
machine-extracted · confidence unavailable · Check page ↗Document / 2 pages
Chain of custody form for air monitoring data
Machine-extracted title · confidence 85%Blank chain of custody form used to document the collection and transport of air monitoring samples for environmental testing.
NYC-WTC_000174156–000174157Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
Page__ of AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs □ 6 hrs □ 48 hrs i/^tandard ASSOCIATES CHAIN OF CUSTODY FORM □ 4 hrs n 24 hrs □ 72 hrs □ Other PROJECT INFORMATION !l. Client: 2 Project Name Q 4c. Rotameter Number: ( 2a. Project Address^ 5 ^ 33. Tssk #
5. Date: ' G^baternent Locati^: 7. [3] PCM (0.8 micraii MCE) 8. QTEM (0 45 micron MCE) 9. Type: c.0^batement 1. □ Environmental Cassette/Filter Manufacture „ ^ a. □ Background d. □ Post-Abate g. □ Ambient % d ,Zo Lot # _______________ Lot# b. □ Pre-Abate e. □ OSHA h. □ Other
DAILY AIR SAMPLE RECORD to. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (Umin.) 15. 16. 17. Sample I D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC Number Number IWA OWA Avg (liters) Minus Blank Field Blank
Field Blank
/./) ____6-5^ /(r56 Mo 26^
;hain of custody lab information (ATC EL^P # 10879, ATC NVL7\P #1187) 18Rplinquished,py: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: a. Analyzed B^
11_ ' ZES b. DC By: □ Nikon Labophot 238913 □ Nikon Labophot 238917
c. Lab Batch #: □ Nikon Labophot 239079 III Analysis Methodology ?6. ATC Project Manager: 28. Comments: 27. Result To: PCM - NIOSH 7400A TEM - AHERA
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY-1 (1,01)
NYC-WTC_000174157
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NYC-WTC_000174157Source: NYC Law Department, mirrored locally
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