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Asbestos air monitoring chain of custody form

Machine-extracted title · confidence 75%

Chain of custody document for asbestos air monitoring samples collected at the New York City Law Department in an unspecified date.

NYC-WTC_000174655
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I io me ASBESTOS AIR MONITORING DATA AND CHAIN OF CUSTODY FORM o CD

o o Client Project Manager Laboralory/Location Turnaround Time U o c New York City Law Department Nitin Dave EMSL CT Projeci Name & Location Project Wonitor/Air Sampling Tedhnician O Immediate □ 3 Hours O e Hours [3 12 Hours o' O) U cn o cn 100 Church St. Zibby Dolinski □ 24 Hour,s □ Ottier 3. 03

Rotometer NPCM (0.8) micron MCE □ TEM Cassette Filler Type: o o Proieci Number Dale Number Cssselte Filter O Background □ Posl-Abatemenl Q Environmerilal o c Manufacturer. Manutacluref' 3 35052-0000-00017 OS/04/03 Lol /a Lol_______ _ D Pre-AbalBmeril a OSHA H Amfatenl CD TRC # 11 □ Aba lenient DOlher MR SAMPLE INFORMATION -I— Time (24 Hr. CtocL.) 1 Flow Rale (Lfldin.) Total Air Volume U Fibers/ Ff'elds Minus Fiber/ Siructun Total Sample I.D. Number Sample Location Start End (Minutes) Start End Avg- (liters) Blank Cone 20'" Floor- FTP ZD030403ASBA1R2001 20 Floor-er ZD03(M03ASBAlR2002 00'3” 6/3/ 6/3/ 6,^( 20 Floor- CF/^r/i,4^ ^tsf- Z0030403ASBA(R2003 >6121 6i3i 5/ Floor- <5^zW'7"X-4v*rrtr' 7-0 2D030403ASBAIR2004 1/13 a i ZDO3O4O3ASBAIRFBQ£' Blank cb co rr: :vr~ I o=^ Tt3> -o

SB: CHAIN OF CUSTODY Relinqutstred By; Dale Time Reoeiv/ed By Time Lab ELAP No. Date Time Microsoope"^ C S fip/ -^nalyzed By ' ( LlJII'J Muke/Serial No Zibby Dolinski o H PC By K I Lab Batch No.

Transmit Results To Fax No Pager No. ' Comments: Analysis Melhodology

TJitin Dave (212) 221-7840 (917 ) 549-33^ PCiil - AHERA o o I o

Ch Ch CO 03030373 Page_l of 1_ 4^

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NYC-WTC_000174655Source: NYC Law Department, mirrored locally

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