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Asbestos Air Monitoring Chain of Custody Form

Machine-extracted title · confidence 85%

Blank or partially filled chain of custody form for asbestos air monitoring data collection.

NYC-WTC_000174572
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Scanned page image, NYC-WTC_000174572
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NYC 9/11 Public Portal Document

1 rnc □lefit ASBESTOS AIR MONITORING DATA AND CHAIN OF CUSTODY FORM Project Manager Laboratory/Location Turnaround Time K ts: o: V. r-J C2 New York City Law Department Nitin Dave EMSL <s txJ ProieclNarae & Location Project Monilor/AIr Sampling Technician □ Ifnmerfiate □ 3 Hours □ 6 Hours B 12 Hours PH- o 100 Church St. Zibby Doltnski □ 24 Hours □ other Type: to Rata meter aPCM (0.8) micron MCE □ TEM Cassette Filler Prcjecl Number Dale Number Cassette Filter □ Background O Posl-Abatemenl O Environmental Wanufaeturer: Manufaclurer; rj 35052-0000-00017 02/27/03 TRC# 11 Lol ings~?g.i Lol_________ □ Pre-Abalement DOSHA 0 Ambientt I- f-D 1 u Abalfmenl KI tn AIR SAMPLE INFORMATION __________ CD Time (24 Hr. Clock) Flow Rate (UMin.) Total Air if Fibers? Fiber/ X ~ I Total Volume Fields Minus Structure g Sample I.D. Number Sample Location Start EfKl I (Minutes) Start End Avg. (Wers) Blank Cone, co ZO^FIoor- ZDO22703ASBA1R2O01 grey?" zr>z/te,4y» cn,io lit H '2M 6,'!( ZD022703ASBAtR2G02 20'" Floor- /C 1^ 2^ 6.3/ 5,3/ £11 15^,02- 20” Floor- ZDO22703ASBAIR20O3 //(3t3 2^1 z. 5. 3t 6.3/ ^,3 I 15-27.0^ 20'^Ioor- 2D022703ASBAIR20Q4 11. 53> I ZD0227Q3ASBAtRFB0jr Blank C3 §

n1 :s 2: l\ □c CEtOSOSlKi 5 sr S'- s ■ AO I CHAIN OF CUSTODY r\j ___ _______ Relinquished By: Date Time Received £ Dale Lab ELAP No. Il'-nQfz? Date Time irticrosoope o Make/Senal No. ^Analyzed By J‘ H Ztfaby OcilinskI 02l2n03 r^Z^ k! QCBy to Lab Batch No, S O Fax No. Pager No. Commeols: Analysis Methodology Tiansmil Results To

Nitin Dave (212) 22 (917)549-33^^2 “O PCM-AHERA cn m LT Un ---------------------- o co o CT CT Page_1 of X

NYC-WTC_000174572

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NYC-WTC_000174572Source: NYC Law Department, mirrored locally

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