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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_000174380
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Scanned page image, NYC-WTC_000174380
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NYC 9/11 Public Portal Document

me Client ASBESTOS PROJECT AIR MONITORINC DATA AND CHAIN OF CUSTODY FORM; Project Manager Laboratory/Location Turnaround Time 6'2 C Project Name & Location Project Monitor/Air Sampling Technician □ Immediate □ 3 Hours □ 6 Hours □ 12 Hours /CO CL A :@^4 Hours □ Other Rotometer Type Project Number Date Number (0.8) micron MCE OTEM (0.45) micron MCE □ Background □ Post-Abatement □ Environmental C. Cassette Filter Cassette Filter Manufacturer: Manufacturer: □ Pre-Abatement □ OSHA ibient OOCXZ/- Lof■ Lot_________ □ Abatement □ Other AIR SAMPLE INFORMATION Sample Data Time (24 Hr. Clock) Flow Rate (L/Min.) # Fibers/ Sample Total Air Fields Fiber/ I.D. Pump Total Volume Minus Structure Number Number IWA OWA Sample Location Start End (Minutes) Start End Ayg. (liters) Blank Cone.

6s 7 op S' p (c/J (X- OS'^5 3oo 5 /Soo So' COSS'- C) G pfaojC oOO 5 7

(^1 c>7 -PGl 65 L’/ (CSA OS'45' 3'00 5 /5;po S c ^4-5 Cs_< v.X 5 i — (j/ 67/0 /W7 5 5 /^o X S\Ja.. 37 OS 6 /y56 ^/S~ 6? 6 /S7^ Avx-rH 9 UlsL. 6S4? .XljL G p CooX. .5 6 AZS 6)5 /5 •>> ■T'LCtX- cjSriOO 3<r- 5 /6?r TTTZTTTZzt ^icsi-c cZ (55/4,------- /pli 3/^ 5 5 5 /§7r CHAIN OF CUSTODY GS fT - /C Relinquished By: Date Time Received'^y Date Time 0- // Lab ELAP No. i /f -A tf Patel /-I Time Microscope Z/7j^ ^7" ziz: y2/jO27 Analyzed By 'I 1 Make/Serial No.

Transmit Results To Fax No. Pager No. Comments: QC By Lab Balch No. s Analysis Methodology PCM - NIOSH 7400A 3-0201 3296 TEM-AHERA TEM - NIOSH 7402

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NYC-WTC_000174380

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NYC-WTC_000174380Source: NYC Law Department, mirrored locally

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