Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

AIR MONITORING DATA Page of I TURNAROUND TIME AND ASSOCIATES □ 2 hrs □ 6 hrs □ 48 hrs □ Standard □ 4 hrs n 24 hrs □ 72 hrs n Other ‘ROJECT INFORMATION I. Client: 2. Project Name ro zi/7__ ., 3. Project #^ _ 4. Project Monitor: 4c. Rotameter Number:

3a. Task # 4a. Air Sampler: t. Le u-4 s OOG ooco Z, cf^ i Date: 6. Abatement Locatinn: 7. □ PCM (0.8 micron MCE) 8.15] TEM (015 micron MCE) — 9. Type: c. □ Abatement f. □ Environmental ^roiAYvp( bu/fJ/vg Cassette/Filter Manufacture _ Cassette/Filter Manufacture 1. a. □ Background d. □ Post-Abate g. □ Ambient Lot# _____________ LOI# b. □ Pre-Abate e. □ OSHA h.t\/otherC^e n ,X

)AILY AIR SAMPLE RECORD 0. 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 oT Field Blank

Field Blank

os '00 IL 4 /IQO or v' 06' H - O I ^^0 ^1 4 ‘4 I^QO

06 ^$0 4 4 /to c7 /^'O^ V| 4 4 Q ■J T? -- /li / Zc7f 06<40 l^-to 45^0 M 4 /^oo 0 -5 45'0 s 4 4 (O 06’ M z /'iQSi 450 4 M /^oo u V TrlV 4 ro M 4 4 /Zoo iv *— < <96/44 4 5o ^1 4 /Wo 4 0^^ rvJi) \la co 4 4 IM ■J O£-Si sro 4 h 4 /&OO Ir V M 4 4 /WO ;HAIN OF CUSTODY LABJNFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) 18. Myquished By: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: □ Nikon Labophot 238913 iCl L vTc. L a. Analyzed By: >

II III zi^L'iSKl b. DC By: c. Lab Batch #: □ Nikon Labophot 238917 n Nikon Labophot 239079

Analysis Methodology 28. Comments: '6. ATC Project Manager: p uc: rrl’/' 27. Resull To: P- feurk PCM - NIOSH 7400A

Beeper/Phone #'s ___ WHITE - File YELLOW - Client/Report PINK • Lab GOLDENROD ■ Field NY-1 (1/01)

NYC-WTC_000174166