Asbestos air monitoring chain of custody form

NYC 9/11 Public Portal Document

TRt ASBESTOS AIR MONITORI 'fartTAANDCHAINOFCUStODYFORWI Client Project Manager Laboratory/Location turiiaruund Time New York City Law Department Nitin Dave SCILAB Project Name & Location Project Monitor/Air Sampling Technician □ liiiiiiudiale ri 3 Hours □ G Hours (\. ~®S12 Hours ' 100 Church St. Gerald Stanley / Sean Grassier □ 24 Hours □ Olher Rotometer Type Project Number Dale Number micron MCE □ Cassette Filter □ Background ^-B-a}st:^atement □ Environmental 350524)000-00007 AX Cassette Filter Manufacturer; □ Pre-Abatement □Ambient •=^7 Manufacturer: Lot________________ Lot_________ □ Abatement □Cmsr AIR SAMPLE INFORMATION Time (24 Hr. Clock) Flow Rale (L/Min.) Total Air # Fibers/ Fiber/ Total Volume Fields Minus Structure Sample I.D. Number Sample Location Start End (Minutes) Start End Avg. (liters) Blank Cone.

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HAIN OF CUSTODY l^linquished By; Date Time Recced By_____ a? Baler,’ Time Lab ELAP No. Analyzed By w Date , Time Microscope Make/Serial No.

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H l^b Batch No. ’ransmit Results To Fax No. Pager No. _____ Commenis: Analysis Methodology K)

S 'Jitin Dave 1-212-349-4648 1-917-549-3382 PCM-NIOSH7400A O o o <^0^02 369 4 TEM-AHERA TEM-NIOSH 7404 I o ro CT / Cn Page of Cn CT

NYC-WTC_000174367