Air monitoring chain of custody form, Sep 2001

z -< Page of_±/ o AIR MONITORING DATA CD

i AND □ 2 hrs TURNAROUND TIME □ 6 hrs □ 48 hrs / 0 Standard ■D

'2oo •ROJECT INFORMATION ASSOCIATES

# z i' CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs □ Other c CT o' I Client: 2. Project Name 3. Project # 4. Project Monitor: 4c. Rotameter Number: "0 o 4^ 03 2a. Project Address / ‘f’ /g Sampler: . gl/ // ssoyS •v- iI--- 03 CO O ). Date: 6. Abatement Location: 7. n PCWl (0.8 micron MCE) 8- HTEM (0.45 micron MCE) 9. Type: c. □ Abatement f. □Environmental o o a. □ Background d. □ Post-Abate g. g] Ambient c Cassette/Filter Manufacture _ Cassette/Filter Manufacture 3 Lot#___________ Lot# iZg/ 307 / ? b. □ Pre-Abate e. □ OSHA h. □ Other CD 3

AILY AIR SAMPLE RECORD 0. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. Sample l.D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b. Total Air Vol. # Fibars/Fields Fiber Cone. F/CC Number Number IWA OWA Avg (liters) Minus Blank Field Blank ■ ■ Ji BIB ifiiBzilii ISIS# ms Field Blank 8M 1® III ■ ■ill

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

a. Analyzed By: □ Nikon Labophot 238913

b. QCBy: □ Nikon Labophot 238917

c. Lab Batch #: □ Nikon Labophot 239079 I Analysis Methodology ATC Project Manager: /. <5^2 28. Comments: 27. Result To: PCM - NIOSH 7400A M Sosoooo.'V I TEM - AHERA Beeper/Phone #'s r Z -^H|-p -RJe p '^LLO^’' '’'Oi-I'H" - Lair- q GQ'----- ROD ...... 1 ' p [ nZ , Joo) Z