Air monitoring chain of custody form, Sep 2001

Z z J. c, -< s AIR MONITORING DATA AND Page TURNAROUND TIME of^ o co

□ 2 hrs □ 6 hrs □ 48 hrs □ Standard CHAIN OF CUSTODY FORM I ASSOCIATES INC. □ 4 hrs □ 24 hrs □ 72 hrs □ Other _ o ROJECT INFORMATION o 2. Project Mame 3. Project# 4. Project Monitor: 4c. Rotameter Number: -IS­ OO CD to 2a. Project Address^ 4a. Air Sampler; J .1 .Date: 6. Abatemjn|Location: I 7. □ PCM (0.8 micron MCE) 8- 0 TEM (0.45 micron MCE) , 9. Type: c. □ Abatement f. □,Environmental Cassette/Rlter Manufacture _ ' Cassettg^hMaffutacturs a. □ Background d. □ Post-Abate g.'Q Ambient

AILY AIR SAMPLE RECORD Lot # _ ___________ b. □ Pre-Abate e.nOSHA h. □ Other I 3. 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. Start 13b. End 13c. Total 1,4a. Start 14b. End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC I : Number Number IWA OWA Avg (liters) Minus Blank Field Blank r£3B<£t/ -SC? If

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IAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) fRelinquished 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

- i b. QC By: □ Nikon Labophot 238917 Ol5

[ 0. Lab Batch #: □ Nikon Labophot 239079 Analysis Methodology ATC Project Manager: 28. Comments: '27. ResultTo: PCM - NIOSH 7400A

Beeper/Phone #'s TEM - AHERA

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