Chain of custody form for air monitoring data

NYC 9/11 Public Portal Document

AIR MONITORING DATA Page 4 0^^

TURNAROUND TIME AND s □ 2 hrs □ 6 hrs □ 48 hrs □ Standard S S 0 c J CHAIN OF CUSTODY FORM PROJECT INFORMATION □ 4 hrs □ 24 hrs 0 72 hrs Other 4 1 Client 2 ProiectName 4 Protect Monitor 4c Rotameter Number 2a Protect Address B/M_______ 3a Task# 4a Air Sampler A//A R t) fc IOC 'Ha ter- -4 TC K 5 Date 6 Abatement Location 7 □ PCM (0 8 m ra MCE) 8 [^TEM(0 45 m ro MCE) 9 Type c (3 Abatement f □ Environmental U I a Jf' C tle'Flt M I Hi _ C ne/nt M uf t a □ Background d □ Post Abate g JgjAmbient L t# L1# OcA (OC b □ Pre Abate e noSHA h □ Other

DAILY AIR SAMPLE RECORD 10 11 12 Sample Location 13 Time (24 hrs clock) 14 Flow Rate (L/min) 15 16 17 w Sample ID 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 Number Number IWA OWA Avg (liters) Minus Blank CO to Field Blank *4 p TP o A ui- ■* Sc H 4i Field Blank V 1? •4 H O ( ( I), sr...<..l) 3 31 O H 19 lies 1C09 8 a AS 2. M O o Ilog 16*0 H < o s IHL f 8 8 M a o H 3 a H M > 3 O

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to o o co CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879 ATC NVLAP #1187) O 18 Relinquished By 19 Received By 20 Dale 21 Time 22 Lab Name 25 Microscope Make/Senal # 23 Date 24 Time H I T Analyzed By -- □ Nikon Labophot 238913 /£7t& to (1 b OC By □ Nikon Labophot 238917 S Til c Lab Batch # □ Nikon Labophot 239079 O o 28 Comments Analysis Methodology o 26 ATC Protect Manager I o 27 Result To r.n » "3------------- PCM NIOSH7400A o to V" c[- t-vfVr Beeper/Phone # s TEM AHERA Ui to WHITE File YELLOW Client/Report PINK Lab GOLDENROD Field NY 1 (1/01) O Ui

NYC-WTC_000175448