Asbestos air monitoring chain of custody form, undated

NYC 9/11 Public Portal Document

meClient __ ASBESTOS PROJECT AIR rV>^NITORING DATA AND CHAIN OF CUS% wDY FORI Project Manager Laboratory/Location Turnaround Time 1 /\>yc □ Immediate O 3 Hours □ 6 Hours Hours Project Name & Location Project Monitor/Air Sampling technician

/oo C4orc^ □ 24 Hours □ other Rolomeler •■«^lf*CM (0.8) micron MCE ----------------------- □ TEM (0.45) micron MCE Type Project Number Date Number □ Background □ Post-Abatement □ Environment 2- cooci- Cassette Filler Cassette Filler O Pre-Abatement □ OSHA ^^aCiiimbient Manufacturer: Manufacturer: oooo "7 Lot___________ Lot ; □ Abatement n 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 Structui Number Number IWA OWA Sample Location Start End (Minutes) Start End Avg. (liters) Blank Cone.

655 ^'1 ‘ila. 3 ■ 5 5 5 /•■'I GjuZ- <3SC At- 5 5 5 Z n'' GG ? - /// Dfr// /V/Z 5 5 5 <c/ .7T,

<^5- c^/3 5 5 5 /^3o 5 S S GS/o S' C?S // z^O 5 /,7j0

/s4^ ^rd ':y 4^0 ___________ CHAIN OF CUSTODY GC ZG ~ Relinquished By: ________ Dale Time GiJzwG'tPi''/j____ ___ _ Lab ELAP No. Date Time Microscope G). Analyzed By Make/Serial Nr

zzfzzzrZyG QC By Lab Balch No.

Transmit Results To Fax No. Parjer No. Comments: Analysis Methodology '«=«g^a5il PCM - NIOSH 7400A

^2021 401 TEM-AHERA TEM - NIOSH 7402

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