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Air sampling worksheet, WTC site

Machine-extracted title · confidence 85%

U.S. Department of Labor air sampling worksheet recording inspection details and exposure data for the World Trade Center site.

NYC-WTC_000178282
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NYC 9/11 Public Portal Document

Air Sampling Worksheet U.S. Department of Labor Occupational Safety and Health Administration

1. Reporting ID 2. Inspection Number 7, 2- A t- o *-aaS»> 915176127 4. Establishment Name, . Z 5. SamnlujgyDate 6. Shipping Date /5 •Zg-'DAtY 7. Persoj iling^^^^^^ 8. Print Last Name 9. CSHO ID <0^ 10. Employee (Name. Address, Telephone Number) 14. Exposure/ a. Number b. Duration Information c. Frequency

"fys 15. Weather Conditions 16. Photo(s) Y 11. Job Title 5 S 12. Occupation Code

13. PPE (Type and effectiveness) fAcYjAZ '■ _A_t y)' aJ X 13 d. ' iV. Pump Checks and Adjustments

r■" S ~ /~Ar^

18. Job Description, Operation, Work Location(s), Ventilation, and Controls

06 cY'/t-S / i -- oP'f Pt'cif c^i&'ii^crT^ Cont'd

19. Pump Number; Sampling Data 20. Lab Sample Number

21. Sample Submission Number 0 io t 22. Sample Type $ 23. Sample Media

24. Filter/Tube Number

25. Time On/Off

26. Total Time (in minutes) 27. Flow Rate __n □ cc/min 28. Volume (in iilers)

29. Net Sample Weight (in mg)

30. Analyze Samples for: 31. Indicate Which Samples To Include in TWA, Ceiling, etc. Calculations

ii.

■ A idiryK. s t’ -....... - - /# - Yip z

32. Interferences and 33. Supporting Samples 34. Chain of Custody Initials Dale IH Comments to Lab a. Blanks:............. a. Seals Intact? Y N b. Rec'd'in Lab b. Bulks: c. Rec'd by Anai, d. Anal. Completed e. Calc. Checked I. Supr. OK'd ..... Case File Page z CONFIDENTIAL, CITY_21MC100_005608740 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000178282

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NYC-WTC_000178282Source: NYC Law Department, mirrored locally

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