Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

Page__ of_K AIR MONITORING DATA TURNAROUND TIME AND C12hrs Qdhm 0481*8 □ Standard o

A«tOClATES INC. CHAIN OF CUSTODY FORM □ 4hfs .A«hrs 1172hrs | |Other o r-o PROJECTINFORWWkriOM o o 1. Client; 2 ProlectName ******* 4c. RolamelwNumbw. re

4a. Air Sampter 006' o

oo t 5. Date: €. Abatement Location: 17. I^TCM psmtrcntacft 1 0Lj TEM «o.« «ii/o« mc£) 9.rwe; c. □ Abatement l-□Ef,vtlor»mer^1al o

a. □ Background d. □ Post-Abale g. □ Ambient 10.0 ,01 CiiMte'/ltMMaiiillKliiw Ca£«fMi<r}br Mrufacim, b. □ Pre-Abate e. DOSHA h. □ Other > >•< u.#- ur *_ hd I— DAILY AIR SAMPLE RECORD re 19 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (LM*i.) 15. 16 17. Sample I D. Pimp 13a. Slart 13b. End 13c. Totai ii4a start 14b. End 14b. Total Ab Vol. # Hbets'l-ieWs Fiber Cone . F/CC Cn ^^^A ^^A l?c. Sample Coartinatas Number Number Avfl flitets) Minus Blank 00 Cd Field Blank O % ?Z?^ <» Field Blank

V Ah wCakI S AtC' n-oc lO lO iO ^boo ^^<xr^wcu>.4 3 c n-of 1S'.(7 :sii (0 to fo 57 ZO <o.cc/ fEjdX^l rb-iisg-/< v n’-cQ to IO IO 5710 5 EO^. k/ 2>7o (0 (0 10 2>7OO £ltop /7t /{ 10 (O IO 3^30 >/ 12U>-315.24 10 IO IC rir6)or /Vcf^i. 11'(3 (O /o /o 3^ "^/oo f£i,CC/ V miL 2,6^ fo (O (O <£>£»£^/ n-'O 10 lO /o 3^50 7b^ V t — —’ n isavxi 12 fO fO lEElHaL^ V iijj. (o /o fO ?>6/o Ff>~U5-XH UF^xor n''» 3^^ 10 ff) (0 5>€SlO CHAIN OF CUSTODY LAO INFORMATION (ATC CLAP * 10879. ATC NVLAP #1187) 18. sdBy. 19. Received By: r 20. Date. I 21. Time: I 22 LabMame. 23.0^ Time: 24. Time; 25. Microscope Mato □ Nilc^^^ lO a AnaDizedBy;

n b.QCBy; r n Nikon Labophot 230917 □ Nikon Labophot 239079 IH cLeb Batch#; Analysis Methodology 26. ATC PrejKt Manager 28. Commenis: o l/PCM - NIOSH 7400A^ o 27. ResiMTo: f, Se<£^'. Beeper/Phone #*8 TEM • AHERA c?

WHITE - pile YELLOW - diert/neport PINK-Lab GOLDENROD - Field NY-1 (1/01)

NYC-WTC_000174182