Asbestos air monitoring chain of custody form

NYC 9/11 Public Portal Document

F WTWAlWCH/airbF CUSTOM ASBESTGS-AIRMONtTOR fciienT r lujcbt i/ioliayci Laboratory/Location Turnaround Time New York City Law Department Nitin Dave SCILAB Project Name & Location Project Monitor/Air Sampling Technician □ Immediate □ 3 Hours □ 6 Hl 5SM2 Hours 100 Church St. Gerald Stanley / Sean Gressler □ 24 Hours □ Other Rotometer Type Project Number Number (0.8) micron MCE □ Cassette Filter □ Background □ Post-Abatement O Environments! 35052-0000-00007 MX Cassette i.'wMuiaOturei', □ Pre-Abalement •>5iaDSHA □Ambient ^7 Manufacturer: Lot■ Lot_________ □ Abatement □Other <»« »»>ii -- >■ - • . . ..... TimetWHhClock) Flow Rate (UMin.) J Total Air I //Fibers/ Fiber/ I 1 VnhimB I PloWe Ki-'J- St-cclu Total _____ Sample I.P. Number_____ Sample I ocafion Sial t unu iMinutes) start End Avg. (liters) Blank " Cone.

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I CHAIN Or CuoTuuT ^linquished By: Date Time Recejyed By Time 3~/l' Lab ELAP No. dj^ //] Dale i Ijme Dal Microscope Analyzed By

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I H K Lab Batch No, r_7 bo Transmit Results To Fax No.____________ Pager No. ■ ' - Comments: Analysis Methodology S Nitin Dave 1-212-349-4648 1-917-549-3382 PCM-NIOSH7400A

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