Chain of custody form for air monitoring samples

NYC 9/11 Public Portal Document

AIR MONITORING DATA J'^LL- Page _ of TURNAROUND TIME AND ABSOCtATCa INC. CHAIN OF CUSTODY FOR^^^^L-y^ □ 2 hrs □ 4 hrs 0 6 hrs □ 48 hrs □ 24 hrs □ 72 hrs □ Standard □ Other PROJECT INFORMATION 1^ 3. Project #_ , 4. Project MonitoiTX “ 14c. Rotameter Number: 1. Client; IA . l—iiF'*^^' z 2. p,^2>i WAmdST ).8 micron MCE) 8. 3a. Task #

9- Type: c. □ Abatement * f. □ Environmental CtsMtWHkar a. □ Background d. □ Post-Abate Lot# ____ Lot#_________________ b. □ Pre-Abate e. □ OSHA 11.1 I mner

w DAILY AIR SAMPLE RECORD P-M- PH 10. 11. 12. Sample Location 3. Time (24 hrs clock) 14. flow Rate (L/min.) 15. 16. 17. G co Sample I D. Number Pump Number 12a. IWA 12L^ 12c. Sample Coordinates 13a. Start 113b. End ’13c. Total 14a. Start 114b. End e Total Air Vol. # fibers/fields (liters) Minus Blank Fiber Cone. F/CC M O H fY. sa Field Blank ‘ IN

H O Field Blank ai no ?3 61.A5S ,/f O H M gAgT V£NT■ > 7”’^ O o C PASS |7<30M"l?2y H

i o s '5 ftWff \f&rr , R/ry a o M 03 a M S H /?0 ?3 > S O ^NOifctw m.uK\/ s:n<ixi\0\P, I \ A-rH foiv" IMI/lAl/iy w M no H IP V ■^fTHblTA

O O CO CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) Q 18 Relinquished By: 19. Received By: 20. Oats: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #; H

^5 a. Analyzed By: b. QC By: ZZzS □ Nikon Labophot 238913

□ Nikon Labophot 238917 S IL 2 III c. Lab Batch #: □ Nikon Labophot 239079 O--------------------------------------------------------- --- ------------------------------- 1---------—--------------------------- Analysis Methodology L 26 ATC Project Manapg . . 27 ResuKTo: y-e^S’^^UcVM 28 Comments; - NIOSH 7400A I YiWiS^hR Beeper/Phone #‘s 6i-(7 77^n&;. TEM - AHERA

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

NYC-WTC_000176962