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Asbestos air monitoring chain of custody form

Machine-extracted title · confidence 95%

Chain of custody documentation for asbestos air samples collected by the New York City Law Department.

NYC-WTC_000174372
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Scanned page image, NYC-WTC_000174372
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NYC 9/11 Public Portal Document

TRC I Client ASBESTOS AIR MONITORI Project Manager r ITA AND CHAiN OF CUSTdDY FORM^ Laboratory/Locaiioii TurnarouiKl Timu New York City Law Department Nitin Dave SCILAB Project Monilor/AIr Sampling Technician □ Immediate □ 3 Hours □ 6 Hours (7^2 HoursA Project Name & Location 100 Church St. Gerald Stanley □ 24 Hours □ Other Potometer Type Project Number Dale Number (0,8) micron MCE □ □ Background □ Post-Abatement □ Environmental Cassette Filler /jX Cassette Filter Manufacturer: _ □ Pre-Abatement ;S<1SHA □Ambient 35052-00004)0007 Manufacturer: Lol________ Lot_______ □ Abatement □Other AIR SAMPLE INFORMATION Time (24 Hr. Clock) Flow Rate (L/Min,) Total Air # Fibers/ Fiber/ Total Volume Fields Minus Structure Sample l,D. Number Sample Location :';'StarL' (Minutes) Start Avg. \(lllers): Blank Cone, -42^- CjC,- 0=5 . “ 4 O'*' * /“^^rjaAu P /CX) / /

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CHAIN OF CUSTODY Relinquished By: bate ' Time Received By ' xI 7 Date , Time Lab ELAP No. Date Time Microscope ....... ■ ■......................... Analyzed By Make/Serial No, o QCBy H K Lab Batch No, L Trarjsmit Results To Fax No,___________ PagerNo, ■■ : , Comments: Analysis Methodology S o Nitin Dave 1-212-349-4648 1-917-549-3382 £^02032653 PCM-NIOSH 7400A TEM-AHERA o I TEM-NIOSH7404’ ' o

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NYC-WTC_000174372

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NYC-WTC_000174372Source: NYC Law Department, mirrored locally

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