Chain of custody form, air monitoring data, NYC BOE

NYC 9/11 Public Portal Document

Of_^ Page AIR MONITORING DATA TURNAROUND TIME AND ASSOCIATES □ 2 hrs n 6 hrs □ 48 hrs □ Standard y fZrfO'-^\ CHAIN OF CUSTODY FORM □ 4 hrs 024 hrs □ 72 hrs ^ZT Other A 4^5/? PROJECT INFORMATION 1 Client 2 Protect Name 2^ 3 Project # 4 Project Monitor 4c Rotameter Number

3a Task #

5 Date latemenUocation 6 ^atementl 7 0 PCM (OSnWon l«| 8^ TEM (0 45 micron MCE) 9 Type c-fzi Abatement f □ Environmental CassetlB/FHer Manufaclure _ Cassette/FiHer Manufacture a □ Background d □ Post-Abate Ambient Let# Lol# 3/c 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 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 G Number Number IWA QWA Avg (liters) Minus Blank ro G M Field Blank o H ^<9 Field Blank H O 022 23 23 Of/ 3.0 O H M O O H H O 3 3-0 i-o o < 3 M H O o H 3^0 23 a S H d>3 ^.o M 23 G 3 O o/r <14^ ^.a

w gZT 2-0 H 23 H ^-O ^.-0 2-0 CS3 ^/Z O O CO CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP^# 10879, ATC NVLAP #1187) 22 Lab Name /ZTC Z/O^^ o 18 Relinquished By 19 Received By lO , 20 tote 21 Time 24 Time 25 Microscope Make/Serial # H A

II / a Analyzed By b QCBy :^^^;^ZZ5Z3’ n Nikon Labophot 238913 □ Nikon Labophot 238917

c Lab Batch# □ Nikon Labophot 239079

o Analysis Methodology o 28 Comments I 27 Result To PCM - NIOSH 7400A I o TEM - AHERA to Beeper/Phone #'s Ui to WHITE - File YELLOW - Chent/Report PINK - Lab GOLDENROD - Field N7-1 (1/01) to IO .(iiMtUli.,,. w

NYC-WTC_000175499