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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_000175324
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NYC 9/11 Public Portal Document SUBJECT TO PROTECTIVE ORDER NO. SEPT. 2008 CONFIDENTIAL, CITY_21MC100_003422138 VATC TATES ING AIR MONITORING DATA AND CHAIN OF CUSTODY FORM 2 Page TURNAROUND TIME •6 hrs L 48 hrs •] 24 hrs • 72 hrs PROJECT INFORMATION 1. Client: 8828 2. Projectam xнay 2a. Project Address 0YC/BOE 5. Date: 6. Abatement Location: 9.9.02 Entire DAILY AIR SAMPLE RECORD 10. 11. 12. Sample Location Sample I.D. Pump Number 12b. 12c. Sample Coordinates Number OWA B-3 B-Y [2hrs •4hrs ] Standagd‹ & Other_ Aust" 4c. Rotameter Number: BefghtraumKS 3.Po4S#84-878 4. Project Monitor: 41/ Aeallst wyny 3a. Task # siml Aus fislau 7. D PCM (0.8 micron MCE) 8. C ТEM (0.45 micron MCE) Cassetle/Filter Manufacture MNI 9. Type: c. C Abateme a. D Background d. [ Post-Abate Lot# 02105916 b. • Pre-Abate e. OOSHA 1. O Environmental 9Ambient h. MOther 13. Time (24 hrs clock) 13a. Start 13b. End 13c. Total 14. Flow Rate (L/min.) 14a. Start 14b. End 15. Total Air Vol. (liters) 16. # Fibers/Fields Minus Blank 17. Fiber Conc. F/CC Field Blank Field Blank Sea led Blank. ROOM # 409 ROOM # 406 4 fL. No Huay Rаoн # 506 00M#50Y SFl. Ua/wa 135MntU8 Bsrnd 100M#59 BiMnt ROOM#IS 1Tl Lobby POOF 1650 2050240 I6S42054240 165 72057 1601 240 2/02241 1705.2106 24 / 17092 10 241 17/4 2/14 240 1718 240 1722723 1241 1738 1745 2137 239 2144 239 8 8 8 8 8 1520 1920 1920 197Y 1927 1928 1920 1020 19/б 1912 CHAIN OF CUSTODY 18:Relinquished By: 19. Received By: 20. Date: 9/10/02 21. Time: LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP # 1187) 22. Lab Name: Técs 23. Date: 24. Time: a. Analyzed By: Lirfr nho /siz? b. QC By: c. Lab Batch #: 26. ATC Project Manager: 'Eflelhiou 27. Result To: Beeper/Phone #'s Y.Etstalhiou 66801155 WHITE -File YELLOW - Client/Report 28. Comments: 25. Microscope Make/Serial #: • Nikon Labophot 238913 • Nikon Labophot 238917 • Nikon Labophot 239079 Analysis Methodology PCM - NIOSH 7400A TEM - AHERA) PINK - Lab GOLDENROD • Field NY-1 (1/01) NYC-WTC_000175324

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NYC-WTC_000175324Source: NYC Law Department, mirrored locally

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