Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

Pog* ____ co AIR MONITORING DATA TUHMAROUNb TIME <5 AND CD ASIOriATlS F « C O21VS oelns □■IS hrs U Standard CHAIN OF CUSTODY FORM □ 4 ltrs H 2-11x5 [-J 72 hrs □OYior y PnOJgCT INFORMATION 2 b Ciwn! r nMM. 3>eP .~ ee£a^ - w 4. Projed Monitor^ / Monkar -OOOJ. t . t.

Cee/er'&r~ vy 4a. Air Sampler HR - •Vbate BjAbalanent location; 7. t« I "*KA Mtt) □ ftMiaiSflrtswi wn UTwe' «. □Abatement ! □ Environmenlfll CisMiienecrUMsiactns___________ Cauiownhi MsvfKtiHR__ _ a. □ Background 4. □ Post Abate g r i Ainbient Id# fo A W# —— „ > □ Pre Abate .LDOsha___ h. aOt^rT fe gy.

DAILY AtH SAMPLE RECORD -r 11. 12. Sample Location 13. lone (24 l»s ciocit) 14. Ruwttaie^UnBn j 15. 14." IZ. Sample I.D. Ptiwy Total Av Vol # nkersAiokli nbeitaac r/CC Number Number 12a. 12b. WA OWA l2c.SanipteCooKlMatts 13a. Slat ,3b Eo4~T13£ low 14a. Start Tl? fad «"l ♦Heis) Minus Blank.

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fHAIMOF CUSTODY LAB INFORMATION (ATC ELAP# 10079, ATC NVLAP #1187) ®13. Hefequislied By; aZlabNauw;; " 23 Oats: —■ r-^ 24. Time; 2S. Mfc^wAtokc^r^*: 19. Recewetl By; 20 Date: 21 lime: L eyttCmO vfC^ 5» ft iolii aAoatyledBy 9. 0 b.XB». ’ □ Nikon Laboptwl 2:W917 ca----------------------------------------------- □ Nike, Labophol 239079 §01 cLabBatck#; CM ■ ■ - ---------------------------------------------- Analysis MeUtortolo® o’6. ATCPrcjcclMaragSi 26. C«Knnnls: CO 27.ResoHTo; . «Sdt g^Ui ? (f^eW^KlSH 740o/Y .;, ® Z6 , •?<» ^^^’417/' Beepci/PlionnFs TEM AHERA

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