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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_000174577
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Scanned page image, NYC-WTC_000174577
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NYC 9/11 Public Portal Document

me ! Client ASBESTOS AIR MONITORING DATA AND CHAIN OF CUSTODY FORM Project Manager Laboralory/Location Turnaround Time : New York City Law Department Nilin Dave EMSL Pfoiecl Name & Location Project Monitor/Air Sampling Tedinician O Immediate □ 3 Hours □ 6 Hours ta 12 Hou P/i' !- 100 Church St. Zibby Dolinski O 24 Hours O OlLier Type: Rotometer BPCM (0.8) micron MCE □ TEM Cassette Filler Project Number Dale Number Casselte Filler □ Background □ Post-Abatement □ Environmental Manuiacturer. Manufacturer: 35052-0000-00017 03/04/03 Lol /cJ fTC/g- Lot_________ □ Pre-Abalemenl El OSHA B Ambient TRC # 1 1 I______________ E) Aba lenient □Olher AIR SAMPLE INFORMATION ITirne (2d Hr. Clock) Flow Rale (L/ldin.) Total Air /i Fibers/ Fiber/ Total Volume Fields Minus Slrudun Sample I.D. Number Sample Location Start End (Minutes) Start End Avg. (liters) Blank Cone 20'" Floor- ZD0304O3ASBA1R2O01 07,/3 ZD030403ASBA1R2002 20 Floor- rt-^ W£ 11,2 1 6/3/ 6/3/ 20*" Floor- ZD03O403ASBAIR20O3 11,^0 6./3f 6,51 6, J/ /5'3?j6t ^0* Floor- 7-0 ZD030403ASBAIR2004 .5 c/Ci Ili5z 7^3^ 6/3/ <2/ ZD030403ASBAIRFBQS' Blank O ZE

I

~o •<<- Sir, CHAIN OF CUSTODY C3 Relinquisher) By; Dale Time Re^ivy^By Time Lab ELAP No. Dale Time Micfosoopo"^ Make/Serial No. Zibby Dolinski 03/04/03 ' (Q p -^nalyzed By 'TT'^ L o QC By

K Lab Batcti No. I Transmit Results To Fax No. Pager No. ' Comments: Analysis Methodology

o Nitin Dave (212) 221-7840 (917) 549-3382 PCM - AHERA o o I o

Ch Ch CO

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NYC-WTC_000174577

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NYC-WTC_000174577Source: NYC Law Department, mirrored locally

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