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Chain of custody form for air monitoring samples

Machine-extracted title · confidence 90%

Chain of custody document tracking the handling and transport of air monitoring samples collected by a third-party contractor for the Department of Education.

NYC-WTC_000176960–000176962
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Scanned page image, NYC-WTC_000176960
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NYC 9/11 Public Portal Document

AIR MONITORING DATA Page of TURNAROUND TIME AND □ 2 hrs 0 6 hrs □ 48 hrs □ Standard AaiOCIATil INC. CHAIN OF CUSTODY FORM □ 4 hrs 024 hrs □ 72 hrs □ Other PROJECT INFORMATION 2. Project Name 3. Project #! . 14. Project Mooito^X l i*" 1. Client: — 14c. Rotameter Number: 1^1 1/ . z 2a. Project Addrei /TH wAmFisr 1.8 rricroo MCE) 3a. Task #

9. Type: c. □ Abatement • t. (~| E^ironmental CatutWHRar a. □ Background d. □ Post-Abate Lol# ___ Lrt#______________________ b. □ Pre-Abate e.nOSHA r. I I Ulnar

w 10. 11. /iM. 13. Time (24 hrs clock) 14. Flow Rate (L/mln.) 15. 16. 17. G CO Sample 1.0. Pump 13a. Start 113b. End l13e. Total 14a. Start 114b. End [Tin? Total Air Vol. # Fibers/FieWs Fiber Cone. F/CC G 12a. ’OWA 12c. Sample Coordinates M Number Number IWA Avg (liters) Minus Blank O H ~crr' Field Blank C . OOIW H O no Ei: (hi Field Blyik

% 03 O H M of 7^/ ■r" 5* O O 7

1\ HEE/KlZxtiSEEtviZ 7^^- H O M < M O S G M a M 0l> 20 S a H M 23 M > 0?’ S O ' plA-Zdywi^cL.- S?<(TrF~ 0{ I w Ki /uXrTor^ixnl ■ 0 M h3 H 05 XpE 0 O O CO 06- J X t J* O CHAIN OF CUSTODY LAB INFORMATION (ATC E^AP # 10879, ATC NVLAP #1187) H 18. Relinquisjie( 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Dale: 24. Time: 25. Microscope Make/Serial #: ! 1—1 s 77 1£ ^rz2 77/ 1Z, a. Analyzed By: b.QCBy: / □ Nikon Labophot 238913 □ Nikon Labophot 238917 a o o 111 ________ ________________ / 7 {__ / c. Lab Batch #: □ Nikon Labophot 239079

Analysis Methodology 1^ 26 ATC P/ject Managg . . 28. Comments: 27. Result To: PCM - NIQSI MOOA Yianpis^/it^ s7 1___________________ _____ Beeper/Phone #'s, (y46 77«IJX?. WHITE - File YELLOW ■ CllenVReport PINK-Lab QOLDENHOD - Field NY 1 ( [.J o

NYC-WTC_000176960

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NYC-WTC_000176960Source: NYC Law Department, mirrored locally

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