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Asbestos Air Monitoring Chain of Custody Form

Machine-extracted title · confidence 90%

Chain of custody form documenting sampling details and chain of custody for asbestos air monitoring data.

NYC-WTC_000174575
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Scanned page image, NYC-WTC_000174575
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NYC 9/11 Public Portal Document

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me anient ASBESTOS AIR MONITORtNlg pATA AMP CHAIN OF CUSTODY FORM P10)eel Manager LabDratory/Location Turnaiound Time New York City Law Department Nitin Dave______________ EMSL Projed Name & La»lran Project Monilor/Aif Sampling Tectiriician O Irnmediale □ 3 Hours □ 6 Hours

100 Church St. Zibby Dolinski 0 24 Hours______ □ Olher Type; Rolometer laPCM (0.6) micron MCL D TEM Cassene Filtei Pro/ect Numbef Dale Numlrar Cassette Filler O Background O Post-Abatemenl O Envirojimenlal Mamtfaclurer; Manufacturer: 35052-0000-00017 03/03/03 TRC # 11 I otzo^r-/ rL-r; d — Lol_________ □ FreAbalemenl D OSHA n Ainlrtohl Q Abalemenl □Olher UR SAMPLE INFORMATION Time (2-1 Hr. Clock) Flovr Rale (L/Min.) Total Air if Fibers/ Total Fiber/ Volume Field.s Minus Slructun Sample t.D. Number _______________ Sample Locatrorr_________ Start End (Minutes) Start End Avg. (liters) Dl.-tnk Cone. 2D030303ASBAIR2001 20'" Floor- 7~t> 7~^ z* .gzg /f /jCyryf, t/, ha ^21 (S77,aYJ 20 Floor- rv> ZD030303ASBAIR2002 //( ^1 2^5 I ZO FIoor- r^ ZD030303ASBAIR2003 2±LLkZ22 7222^ 20 Floor- ZD030303ASBAIR2004 l412l 221 222 Z0030303ASBAIRFaO.C Blank 1 ITTT

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CHAIN OF CUSTODY Relinquished By: Dale , Time Receiy^iil b7 .Time Lab ELAP No. Dale Time Miciosoo^ ■

o Zibby Dolinski O3/03.'O3 Qi. - '3^pt ^Analyzed By MakeJSaiiai No.

QCBy Lab Balch No. to Transmil Results To Fax No. Pager No. Comments: Analysis Mslhod.;;^ S O Nitin Dave (212221-7840 (9177549-3382 o PCM - AHERA o Io

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NYC-WTC_000174575

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NYC-WTC_000174575Source: NYC Law Department, mirrored locally

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