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Asbestos Air Monitoring Chain of Custody Form

Machine-extracted title · confidence 90%

Chain of custody form detailing sampling parameters and technician information for asbestos air monitoring.

NYC-WTC_000174573
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NYC 9/11 Public Portal Document

rnc Client ASBESTOS AIR MONITORING DATA AND CHAIN OF CUSTODY FORM Project Manager LaboratorylLocatfon Turnaround Time ¥

New York City Law Department Nitin Dave EMSL Project Name & Location Project Monilor/Air Sampling Technician □ Immediate □ 3 Hours □ 6 Hours Bl 12 Hours 'C 100 Church St. Zibby Dolinski □ 24 Hours □ other lypE. Rotometar laPCM (0.8) micron MCE □ TEM Cassette Filter Ptojecl Number Dale □ Background □ Posl-Abatemenl Cl Environmental Number Cassetle Filter Manufacturer: Manufacturer: _ 35052-0000-00017 02/28/03 Lol__________ □ Pre-Abatement OOSHA E3 Ambient TRC# 11 Lot □ Abatement □other AIR SAMPLE INFORMATION Time (24 Hr. Clock) Flow Rate (UMin.) Total Air # Fibers/ Fitei Total Volume Fields Minus structure Sample I.D. Number Sample Location SUt End (Minutes) start End Avg (tilers) Blank Cone. ■^ViooE ~~ 6,3) 2O022803AS BAIR2001 ’20'^ Floor- 7V> £0(^0 e-f eJiil- i{ 243 hlL r- ZD022803ASBAIR2002 r>»P»'Z'Zz? s cej Ql,i^ “l'J 2^2 6,5/ 6,3i 6,3| |lS2r?,O^ “* ?:> -n (J 2C"' Floor- ZD0228O3ASBA1R2O03 i‘S;2O 2^ 1 4,3) 6,-il rP 20'" Floor- 2D0226O3ASBAIR2OD4 I1I26 15) 1111 lS21,C^ co ZD022803ASBAIRFBq^ -o Blank tP — erv cn

CHAIN OF CUSTODY Beiinquislied By: Dale Time Rejeh'gM By XA_________ : I/Dale H Time Lab FLAP Mo. Dale Time Microscope

Q Zibby Dolinski 02/2ai03 1 Analyzed By 441^ Make/Serial No.

H -4— QCBy Lab Batch No.

s o Transmit Results To

Nitin Dave FaK No.

(212) 221-7W Pager No.

(917)549-3382 : Comments: Analysis Methodolagy

PCM-AHERA o \ o to cn cn co on Pasej, of X

NYC-WTC_000174573

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NYC-WTC_000174573Source: NYC Law Department, mirrored locally

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