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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_000174162–000174164
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Scanned page image, NYC-WTC_000174163
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Page AIR MONITORING DATA TURNAROUND TIME AND n 2 hrs n 6 hrs (_ j^ 48 hrs !_J Standard ASSOCIATES INC. CHAIN OF CUSTODY FORM PROJECT INFORMATION A'As^/ LT 4 hrs I J 24 hrs j j 72 hrs j j Ollier_____

1. Client: 2. Project Name p 3. Project # 4. Project Monitor; 4c, Rotameter Number: Ce’eav^ - m 2a. Project Address / \ 3 ’‘Wo ox 4a. Air Sampler: C, IrtA «« v 4? V iCC £ OeS 5. Date: 6. Abatement Location; 7. l_) HCM (0 8 micron MCE) [Qi Em (0.45 micron MCE) 9. Type: c. I I Abatement 1, ( I Environmental f^tJ i’ ^6-/ z'vJ a. □ Background d. f 1 Post-Abate J./?. 2. Cassetle/Filler Manufacture _ Cassetle/Filter Manufacture g. I l Ambient O Lol # lot # b. □ Pre-Abate e. □ OSHA h. &/0the<’|^<;. y.

DAILY AIR SAMPLE RECORD 10. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. Sample 1.0. Pump 12a. 12L^ i2c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Tiber Cone. F/CC Number Number IWA Avg (liters) Minus Blank Field Blank

Field Blank T>L’uM o/^eg'Oijt 1^ H |^Z> /O lO IG Y J- va (O 101(6 n'(O 40 fO IQ lO V 14 lO'U 2.4<? 10 (J '44 0.23- lA ^4o IQ lO (£• 14o<? o (C fD 0,4 C’<c I fO'jOD IH'^ 0.4 0 fO 10 J '^4 IO I 0. 3 10.u A OO IQ 10 ill (O K6 14 s 1 4 4? IQ 10 (O t-4 ec ^4 IQ'Oh ’X4 O IQ ro to 4 oc' Y CfegAji rcc^i iO'.lQ Z4C? (O (Q OQ IQ (O IO

CHAIN OF CUSTODY________ LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) 18. Relinquished By: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: T J Nikon Labophot 238913 1»' <’ XiiA a. Analyzed By: I I Nikon Labophot 238917 II IG.'fiO b. DC By; [ I Nikon Labophot 239079 111 c. Lab Batch #: Analysis Methodology 26. ATC Project Manager: 28. Comments; 27. Result To; PCM - NIOSH 7400A P. a Beeper/Phone #'s TEM - AHERA

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

NYC-WTC_000174163

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NYC-WTC_000174163Source: NYC Law Department, mirrored locally

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