Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

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Page of AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs ne hrs [J48 hrs 0 standard ASSOCIATES INC CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs □ Other PROJECT INFORMATION 11 Client: 2. Project Name 3. Project # _ 4c. Rotameter Number:

3a.Task# 4a. Air Sxfipler: Z /

8- ^2^TEM (0,45 micron MCE) > fic/X G^batement Locat^n^ r~l PCM (0,8 micron MCE) 9. Type: c. [7)-Abatement f. □ Environmental Cassette/Filter Manufacture Cassette/Filter Manufacture J’a. □ Background d. □ Post-Abate g. □ Ambient 2zZ^‘^’77^ Lot# _____________ Lot # __________________________ b. □ Pre-Abate 1- □ QSHA 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 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

7/> iZ bh'i S -tf bo /? /g.'.SPZYl^ On-^ /Z/TZ^U/zir /O;^e< A/Yo /ii- /a- CG C o 3Vcn;

Zo /Z b^ b^ 2/ _ bZ Co b^ ?1 Z 7 Vz bO 6^ 2'(/cro 10^ a 94^ ZSL.. bblL^ bQ 10! 5^ l^fCf Q.cbt/O,o bo X 'l 3 ‘^/-Z -05ZCbb> /O -O 3C/(^ ^6. 2 7- ^Lbb^ :hain of custody_____ LAB INFORMATION (ATC ELAP # 10879, ATC NVLTkP #1187) IS^rngulsherFBy: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: n Nikon Labophot 238913 L,, Lt' /bZosbZ) a. Analyzed By: b. QC By: □ Nikon Labophot 238917

c. Lab Batch #: □ Nikon Labophot 239079 III Analysis Methodology '6. ATC Project Manager: 28. Comments: 27. Result To: PCM - NIOSH 7400A

Beeper/Phone #'s TEM - AHERA

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

NYC-WTC_000174158