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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_000174188–000174191
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Scanned page image, NYC-WTC_000174189
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

r«QS — 1 P«.m AIR MONITORING DATA AND TURNAROUND TIME of_21 L o AeeociATce inc. aaiws netiifi □ ah hrs n standard CHAIN OF CUSTODY FORM □ 4hra .Awhrs 072hrs □Other — M OJECT INFORMATION e SHent: 4. Protect Monitor 4c. Rotameter Number: o ZProjectName 47^ . f^^lc£~ooca Srj> - 006' hs

2a.PtoieclAd*es^£gr ee^AC 3». Task# A 0600 X Date: 6. Abatement location: 7. l^PCM pirtcCTircg « [j TEN (045 micro. MCE) 9 Type: c. □ Abatement f. □ Environmental

?.O .OSi Ci»«R.WIXMi4wiim------------------------------- Ca««nflHw Mifufjcv»._ a. □ Background !□ Post Abate g. □Ambient w* Ot2S3/OA unr b.nPrenAbate e.QOSHA ADOteier ts>

ULY AIR SAMPLE RECORD 11 12. Sample location 13. Time <24 hrs clock} 14. Raw Rate (UMn.) 45. 16. 1?. O Sample ID. Pamp 12a. 12c. Sample Coordinates 13a. Start 13b. End pOotal 14a Start 140. Emi 14b. Total AkVol. * Fiber^lds Fiber Cone. F/CC Member Hambcr IWA (liters) Minns Sank ^£6- QO 145. CJ Field Blank 2^1= o Field Blank SO <x

V n-o( 15 ^7^ lO 1£- fQ 'S13O bdlSEd rxf</w«4x4 IT-or n 311 lO (O IQ .5122 <c. oe:>/ > (7:0? 15:/^ •bH 10 IO to 3710 *:(:> £)£^/ H O X/ (7.0^ (0 10 to £f\Ot2 V Hi H 15:40 10 to io 3^50 £>e?/ a IO Io IO 5.^X0 frtW-U V ttr^ior 4 17’25 15 SIM to /o fO V 17. It lO'M to (O fO -bGHO ^//c^

V n-.o to to fO ’S65C 7/,^ >112^ V (— piisavn Ml (O lO 10 V — (------ 1221 Io IO fO 2)^/0 uF^opr MA ^ud IT->>515:3$ 361 (O fQ fO Mio HAIN OF CUSTODY_______ LAB INFORMATION (ATC BAP # 10879, ATC NVLAP # 1187) 8. Rflijiqul^d By; IS.RecewtlBy; I 20. Date; I 21. lime: I 22.Ubht3me: 4-5X nTortrTHIImr 25. Microsem □ Nikw Ct u gAA^ az>.x> y r c a. Analyeed By; t, QCBy; □ Nikon LabopEiol 238917 I c. Lab Batch rP. □ Nikon Latiophol 239079 11 Analysis Wettndoloay S 6. ATC Project Manatee 20. Comenents: o 27. BesutTn: (/ PCM - NIOSH 74OOA^ c £> TEM • AHERA o Beeper/Phone _________ WHITE-File TELLOW - CHetntReporl PINK Lab GOLDENROD - Field NY-1 (1/01)

NYC-WTC_000174189

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NYC-WTC_000174189Source: NYC Law Department, mirrored locally

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