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Document / 4 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_000174167–000174170
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Scanned page image, NYC-WTC_000174169
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Page ol__ '1 00 (S AIR MONITORING DATA TURNAROUND TIME AND D2hrs 06 hrs OAflhrs □ Standard ASSOCIQTFS lire. CHAIN OF CUSTODY FORM □ 4 hrs I 124 hrs 0/2 hrs □ O*ier____

§ PROJECT I.Cfcnt; INFORMATION »hMi.r.-.3,ep 4c. Rowneter Number 4>ep 2a Prelecl Address eeJsT^ ■S«s»w«’r'Awi1fiZr^d^ 5.IW»~ 6. Abateiwrit Ipcalron: 7.(5/TCMp.» mfcB* “CC « D Ttw (MSflfcMNw:q y. lyr: c. [ 1 Abatefnenl I □ En*ironm«rtBl tnsJftbTUfT kUdtfUOLV*________________ _ c»s(n>!7rmrri>taK0>ctiM_____ a □ aackgrouTMl iJ. □ PosI Alate 9.OAmblert __________ 1>lhgtC^ePHr £

DAILY AIR SAMPLE RECORD Ui* I** ___________ b.QPiB-Abalg ..•-.OPSHA 1 10. 11. 12, Saiiiptclocalioii 13. lime (24 hrs dock) 14. ’niwnaie lUnito.) 15 16. 17. Sample 10. Pump 12a. Total Air Vol. #Fih(n/Fi<kls Fib«Conc.F/CC 12c. Sampte CoonHnates ISaStiJt 13htii(l 13c. ioW Ha Start Wwiitber Numhei IWA (Wars) Mkiiff dlarik

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liAlNOFCUSTODY LAB INFORMATION (ATC EIJIP# 10B79. AfCNVl^ # HO?)_____ ____ “* '25 Micrascope MlaWSetial *i in tywwi.Br 19. Rewwed Bjr 20. Date: ai.limk: 22. Lak Warne: 23. Rale: 24. Tmm: r^l n Nikon Labophol 238913 ■ -Aaax AtAAO^V f a. Analyzed Oy. <S) — n Nikon l.abo|4io123B917 H bQCBy; <N — □ Ntkiwi Ijabophot 239079 gra or Analysis Meihaietogy ^’6. ATC Project Manapr 27 HestiB To: & . C > 28. Cnmmcnis m PCM - MIOSH ZdOtlA 2 b . 5ex6^^vA."i TEM - AHFRA Qeeper/Plione #'5 WHITE-Rio YELLOW. CHBuVReport PINK-Lab GOLDENROD - Field NV-I (I.W)

NYC-WTC_000174169

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NYC-WTC_000174169Source: NYC Law Department, mirrored locally

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