Chain of custody form for air monitoring samples

NYC 9/11 Public Portal Document

AIR MONITORING Pag of TURNAROUND TIME □ 2 hrs 0 6 hrs □ 48 hrs □ Standard AlfOCIATlS INC. CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs n other PROJECT INFORMATION ar r I _____ i. Client: 3. Project #_ . 4. Project Mor,itoWV " 14c. RolamelBr Number: 1^1 z 4 SSgUjaam^ MCE) 3a. Task #

9. Type: c. □ Abatement er • n SHvifonmental ■ Ca5«tt»/fWM«u8MRl a. □ Background d. n Post-Abate Lot# Lot* b. n Pre-Abate e. □ OSHA ^1.1 lUTner

DAILY AIR SAMPLE RECORD w 10. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. G co Sample I.D. Pump 12c. Sample Coordinates 13a. Start 113b. End 13c. Total 14a. Start 114b End Fiib Total Air Vol. # Fibers/Fields Fiber Cone. F/CC G Number Number (liters) Minus Blank M O H ~ di Field Blank H Field Blank O .^1 Ji! nd V o H or ^0 8'^ M O O TtH <1 H Hl < O S G % X' S'’ M Hl - a 01^ 4'’ ^^0 S'-" < O M ?d S a M G H Hl > 0^! S O '

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O I O CO o CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) H 18. Relingpisflfed By: 19. Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time; 25. Microscope Make/Serial #. K □ Nikon Labophot 238913 I a. Analyzed By: b. QC By: □ Nikon Labophot 238917 Il c. Lab Batch #: □ Nikon Labophot 239079 III / o o Analysis Methodology I 26 ATC Project Manager . 28 Comments: o PCM • NIOSH 74Q0A o co TEM - AHERA'^ Beeper/Phone #'s WHITE ■ File YELLOW - ClienVReport PINK-Lab GOLDENROD - Field NY-1 (1/01) to

NYC-WTC_000176961