Chain of custody form for air monitoring data, NYC BOE

NYC 9/11 Public Portal Document

AIR MONITORING DATA Page of TURNAROUND TIME AND □ 2 hrs □ 6 hrs □ 48 hrs □ standard y f CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs 0 72 hrs Other PROJECT INFORMATION 1 Client 2 ProiectName _ 4 ProiecI Monitor 4c Rotameter Number

3a Task #

5 Date. 6 ^atement Location 7 □PCM(O8lA/onMCt| 8^ TEM (0 45 micron MCE) 9 Type CT] Abatement f □ Environmental Cassette/Ffller Manufacture _ CasseHe/Filter Manulacture a □ Background d □ Post-Abate Ambient Lot# ______________ Lot# 3/0 b □ Pre-Abate e □ OSHA h □ Other

DAILY AIR SAMPLE RECORD w 10 11 12 Sample Location 13 Time (24 hrs clock) 14 Flow Rate (L/min) 15 16 17 G Sample ID Pump 12a 12b 12c Sample Coordinates 13a Start 13b End 13c Total 14a Start 14b End 14h Total Air Vol # Fibers/Fields Fiber Cone F/CC Cd Number Number IWA OWA Avg (liters) Minus Blank M o Field Blank H Field Blank H O hj ’^yz7 XI o ^■o 2.0 2^0 H Of M O o H o 0^03 J/ s 2^0 o 2.0 i a 6»J2- o M 23 a S H 07-0^// 2.0 ^,0/3^0 M 6>3 23 > S £iy^ O <9-4^ <24^ ^,(9 ^.O

w 0^ 2-0 2^.0 2.0 M G H

to o ^/•7//A7/ £.0 Z0/3Z0 o co CHAIN OF CUSTODY LAB INFORMATION <ATC ELAP^# 10879, ATC NVLAP #1187) o 18 Relinquished By 19 Received By Oi 22 Lab Name 23 Qate , 24 Time ~ 25 Microscope Make/Serial # 20 Dale 21 Time H l"^ a Analyzed By □ Nikon Labophot 238913 II ' / b QC By □ Nikon Labophot 238917 S □ Nikon Labophot 239079 O c Lab Batch# O Analysis Methodology O 28 Comments I 27 Result To o PCM - NIOSH 7400A o I r co IC. Beeper/Phone #'s I TEM - AHERA co WHITE - File YELLOW - Client/Reporl PINK - Lab GOLDENROD - Field NY-1 (1/01) to cr^ 1 .*

NYC-WTC_000175476