Chain of custody form for air monitoring data, NYC BOE

NYC 9/11 Public Portal Document

Page 2 G - AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs □ 6 hrs □ 48 hrs □ Standard^ / ASSOCIATES INC CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs J2<nher Aj/A/ PROJECT INFORMATION 1 Client 2 Project Name 4 Project Monitor 4c Rotameter Number

2a Pro,ectAddress la Task# 4a AirSampler 8 ^^TEM (0 « micron MCE) 5 Dale 6 Abatement Location , , 7 I I PCM (0 8 micron 9 Type c □Abatement f □ Environmental Cassette/RHer Manufacture _ Cassette/FiSer Manufacture a □ Background d □ Post-Abate 9 P^f Arnbient Lol# g2/0/ ^/6 b □Pre-Abate e □ OSHA h □ Other Lol # ______________

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 14b Total Air Vol # Fibers/Fields Fiber Cone F/CC CO Number Number IWA OWA Avg (liters) Minus Blank G M O Field Blank H H Field Blank O hj 7z.7.o2/3 50 O ^.0 2 H M O O H O 3 3 / 2.0 £.o M a o M ?3 a M 3 H 09 / 7 .=24"/ 3rO ?3 > 4^X77 . 3 / 3/3 2.0 O //- 33

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to o Z2. // • 3S /S &.0 a.o /5SO o co o CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP/ 10879, ATC NVLAP #1187) 18 Relinquished By 20 Date 21 Time 22 Lab Name i 23 yDate zi 24 Time 25 Microscope Make/Serial # H rC □ Nikon Labophot 238913 I a Analyzed By to 4 7 ' □ Nikon Labophot 238917 11 b QCBy □ Nikon Labophot 239079 UI c Lab Balch # o o Analysis Methodology 26 ”10)601 Manager 28 Comments I o 27 Result To I PCM - NIOSH 7400A o co co !• Beeper/Phone #'s I TEM - AHERA

WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY-1 (1(01) to

NYC-WTC_000175477