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Air monitoring data chain of custody form

Machine-extracted title · confidence 90%

Chain of custody form for air monitoring data samples with turnaround time options.

NYC-WTC_000175323–000175324
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Scanned page image, NYC-WTC_000175323
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NYC 9/11 Public Portal Document

r AIR MONITORING DATA AND □ 2 hrs Page TURNAROUND TIME □ 6 hrs □ 48 hrs of

□ Standard ASSOCIATES INC. V CHAIN OF CUSTODY FORM □ 4 hrs 024 hrs 072 hrs B^har ^‘-<'V -7 PROJECT INFORMATION 1, Client 4. Project Monitor: 4c. Rotameter Number: 2a. Project AddrS?^ 3a. Task # <9/ 5. Date: 6. Abatement Location: 7. I I PCM (0.8 micron MCE) 8. ©TEW (0.45 micron MCE) ’ 9. Type: c. □ Abarement f. □ Environmental Cassette/Filter Manufacture 7^ Cassette/Hller Manuiacture _ a. □ Background d. □ Post-Abate g.iQ<i^mbient 4 \ P?. Lot# Lot# b. □ Pre-Abate e. □ OSHA h. □ Other

DAILY AIR SAMPLE RECORD 10. 11, 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (Lymin ) 15. 16. 17. w Sample I D. Pump 12a. 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End Total Air Vol. # Fibers/Fields Fiber Cone. F/CC G 14b. co Number Number IWA OWA Avg (liters) Minus Blank G H Field Blank O H Field Blank H O no 23 O H H O O Of <92 ll/OO ZVOt (60^ Ikss. 3 £ ^/9/2 ,zw l±ll 16iJ 2^ H O H < S G A 8 £ m M Hl

O a M _pr RoOd-< /J Jjub MH £ 20 a M a H Hl 0G njo/g/ioauf) ¥ k 23 > njiiV 1. a o to

w M '

£1- (O 3 Yc' f / cT zySz X X— Is X T 7^ nj H (I ^<00 M ^ 35'/ 07 75^ to o co "1^ CHAIN OF CUSTODY LAB INFORMATION x: Si (ATC ELAP # 10879, ATC NVLAP #1187) 7W O 18. Relinquished ^y: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #: H l"^ a. Analyzed By: □ Nikon Labophot 238913 b. DC By: □ Nikon Labophot 238917

R 111 c. Lab Batch #: □ Nikon Labophot 239079 o Analysis Methodology o 26. ATC Project Manager: 28. Comments: Io 27. Result To: PCM - NIOSH 7400A o co lC. Beeper/Phone #'s //sir | <Jem~^he^5 WRITE - File YELLOW - Client/Report PINK - Lab GOLDENROD-Field NY-1 (1/01) CO

NYC-WTC_000175323

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NYC-WTC_000175323Source: NYC Law Department, mirrored locally

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