Air monitoring chain of custody form, Sep 2001

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c o o ASSOCIATES

PROJECT INFORMATION INC.

' sss^/ CHAIN OF CUSTODY FORM □ 4 hrs n 24 hrs □ 72 hrs □ Other I I 1. Client: , 2. Project Name 3. Project# 4. Project jylonitor: 4c. Rotameter Number: -IS- 03 2a. Project Address .>7, /ZX; 4a. Air Sampler: 7' f 7 Ji O' "Z CD O SZ/ZZMZf

j 5. Date: 6. Abatement Location: 7. 171 PCM (0.8 micron MCE) 8. TEM i'Q.45 micron MCE) 9. Type: c. □ Abatement f. □ Environmental Cassette/Filtsr Manufacture _ a. □ Background d-D Post-Abate g.‘H Ambient Lot# j b. □ Pre-Abate e. DOSHA h. □ Other

)AILY AIR SAMPLE RECORD 0. 11. 12. Sample Location 13. Time (24 tirs clock) 14. Flow Rate (L/min.) 15. 16. 17. Sample I.D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC Number Number IWA OWA Avg (liters) Minus Blank Field Blank ffli {ililiilBliliH IHK lii Field Blank ■ilHiili (■IlliSlISl it ■ i ■7’o tf'O/ //■Zo r.o /■O

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HAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) 5, Relinquished By: 19. Received By: 20. Date: 21. Time: 22. Lab Name: /ZJ /IZ 7'/:'' Z 7 23. Date: 24. Time: 25. Microscope Make/Serial #: f- A''/ Wzv a. Analyzed By: Pia □ Nikon Labophot 238913

<Z© z (f Lrao b. QC By: "" □ Nikon Labophot 238917

[I c. Lab Batch#: □ Nikon Labophot 239079

Analysis Methodology I. ATC Project Manager: 28. Comments: 27. Result To: PCM - NIOSH 7400A .. ’ ' 'Z Beeper/Ptrone #'s TEM - AHERA WHITE-File , yellow - C|ient/P°nnci; pimK-L^ - GP*’’’^NROI?^ " Id . Z/odpl ' r ' : i i r J L J L..... J L...... _ t--.... -i