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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_000174165
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Scanned page image, NYC-WTC_000174165
OCR text

OCR status: ok · source: pdftotext

Z Z -< o AIR MONITORING DATA Page of o co g AND TURNAROUND TIME

o I 2 2 hrs ! 1 6 hrs 3 hrs ! 1 Slandaid I AIN OF CUSTODY FORM j 1 4 hrs I I 24 Ills 1 [ 72 hrs i j Other . , “0 c S PROJECT INFORMATION CT o' l'ClieliL“” ............ 4 /r’!i)|ect Monitiir: ■tc RoI.iiiicIgi Number: "0 o o> 3a. Task # cn 2a Project Address v'- / c .>_ davAii-Samplem-, -2 y • / v/* T 7' A CD

7. WpCM (U KiiiiLiuii MCL I 8 {^TEM vLi IS iiiiciuii M 9. Type: 0 5 Date 6 Abateiiiuiit Location: c J ] Abateinenl' 1.1 j Environmental o o (\iSjcIle. f i!lui Mrnnilctctiiic Ca»M‘ili;lilhir Mjiiulactiiie a. 1 J Background d. L j Post-Abate ij 1 I Ambient / c lot tf Lot it ;;C b. j I Pre Abate e. (J OSHA h (Mother /c. • 3 CD 3

DAILY AIR SAMPLE RECORD 3/ 10 11 12 Saniiile Location 13. Time (24 his cluck) 14. Flow Rale (L'niiii.) 15. 16 17. Sample 11) Pump 12a 12b. 12c. Sample Coonlinates 13a Start 13b. End 13c Total 14a. Start 14b End 14b Total All Vol. # Fibers/Fiekls Fibei Cone. F/CC Nnmirei Nninbci IWA nwA Avg (liters) Minus Blank

Field Blank ZLUM- Field Blank

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ELu.±l£_iL- / 93 n U H’ Ad o II ; il 'I I iv ( o’ tT f f' VC Ai) / ( I A 171'y

CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187)

18 Helinguislieil Byi 19 Received By: 20. Dale: 21 Time: 22 Lab Name: T7 23. Date: 24. Tune: 25 Micioscope Make/Seiial #: 3 11 Nikon Laboptiol 238913 1777 -/■/ / a Analyzed By:

b. QC By: 11 Nikon Labophot 238917 II ab Balch # ! 1 Nikon Labophot 239079 III Analysis Methodology 28. Coniinenls 2t) ATC Pioject Manage 2/ Hesnll lu Co 77;t ! PCM - NIOSH 7400A

Beepei I’liiine #'s

WHITE I lie YELLOW Sill tc-poi I PINK I,.I GOLDENROD Field NY I (1,01)

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NYC-WTC_000174165Source: NYC Law Department, mirrored locally

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