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Asbestos project air monitoring chain of custody form

Machine-extracted title · confidence 95%

Chain of custody document for asbestos air monitoring data associated with a specific project site.

NYC-WTC_000174363
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Scanned page image, NYC-WTC_000174363
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NYC 9/11 Public Portal Document

me Client b ASBESTOS PROJECT AIR MC..STORING DATA AND CHAIN OF CUSTC^^ZFO^ Project Manager Laboratory/Location Turnaround Time

Project Name & Location Project Monitor/Air Sampling Technician □ Immediate □ 3 Hours □ 6 Hours ><52 Hours

/oo □ 24 Hours □ other Rotometer Type • ^l^CM (0.8) micron MCE OTEM (0.45) micron MCE Project Number Date Number O Background □ Post-Abatement □ Environmental 35^5 2- Oooci- A. AC Cassette Filter Cassette Filter O Pre-Abatement ^OSHA □ Ambient Manufacturer: Manufacturer; OOOO Lot___________________ Lot__________ □ Abatement □ Other AIR SAMPLE INFORMATION Sample Data Time (24 Hr. Clock) Flow Rate (UMin.) # Fibers/ Sample Total Air Fields Fiber/ I.D. Pump Total Volume Minus Structure Number Number IWA OWA Sample Location Start End (Minutes) Start End Avq. (liters) Blank' Cone. or/ 65 /7 /;<?o ZS^o 30

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CHAIN OF CUSTODY o Relinquished By: Date Time Received By__________ Date Time Lab ELAP No. Dale Time

w Microscope H Make/Serial No. jC (A Analyzed By, oy2.8^0 a. QC By S Lab Batch No. o o Transmit Results To Fax No. Pager No. Comments: Analysis Methodology o I z?D c?<^-rz PCM - NIOSH 7400A o to ?O2OI3399 TEM-AHERA TEM - NIOSH 7402 cn cn cn Page / of

NYC-WTC_000174363

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NYC-WTC_000174363Source: NYC Law Department, mirrored locally

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