Air monitoring chain of custody form, Sep 2001

z Z o -< io T AIR MONITORING DATA AND Page TURNAROUND TIME of o co I □ 2 hrs □ 6 hrs □ 48 hrs ’a Standard o o ASSOCIATES INC. CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs □ Other __ ■D c o PROJECT INFORMATION CT 1. Client: _ 2. Project Name 3. Project # 4. Project Monitor: 4c. Rotameter Number: o' oo "0 oo o CD 2a. Project Address 4a. Air Sampler: //X/ 3. 9L 5.Date: 6. Abatement Location: 7. Q PCM (0.8 micron MCE) 8.0 TEM (0.45 micron MCE) 9. Type: c. □ Abatement f. □.Environmental O CassetteZHteMaitufacUire L y .* -* a. □ Background d. □ Post-Abate g.'S Ambient o Cassette/Filter Manufacture _ o c Lot# _______ b. □ Pre-Abate . e. □ OSHA h. □ Other 3 o 3 DAILY AIR SAMPLE RECORD 10. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17, Sample I.D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Stan 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Fiber Conc.LTO Number Number IWA OWA Avg (liters) Minus Blank f; I', Y- Field Blank ■

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CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879. ATC NVLAP #1187) 18. Relinquished By: 19. Received By: 20: Date:. 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #:

a. Analyzed By: — 1777 7777 □ Nikon Labophot 238913

n 7? b. QC By: , □ Nikon Labophot 238917 □ Nikon Labophot 239079 nr c. Lab Batch #: Analysis Methodology 26. ATC Project Manager: 28. Comments: 27. Result To: _ PCM - NIOSH 7400A z7/ ZsX’yZ'.Sf'A/ Beeper/Phone #'s TEM - AHERA

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