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Document / 3 pages

Air monitoring data chain of custody form, Jan 2002

Machine-extracted title · confidence 85%

Chain of custody form for air monitoring data samples submitted by ATC Associates to a laboratory for analysis.

NYC-WTC_000179453–000179455
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Scanned page image, NYC-WTC_000179453
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NYC 9/11 Public Portal Document

Page ■J of o AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs □ 6 hrs 048 his □Slaridr^rtl ASSOCIATES INC CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs gj ( I’hPl 'ROJECT INFORMATION , Client 2 Project Name _ 3 Prpiect# 4 Protect Monitor 4c Rotameter Number /7 3 e:\/}2Oj.il 2a Project Address 2 7 3a Task# , . 4aAirSampler Ajf. 200 /rO. /y O/, zzy, Oj 00-/20 ) Date 6 Abatement Location 7 Q PCM (0 8 mteren MCE) 8 0 TEM (0 45 micion MCE) 9 Type c □Abatement f Q Environmental CassettE/filta ManulacluiZYf/^ZlFk/iG a □ Background d □ Post-Abate g ® Ambient Cassett^Fillsr Manufaclure _ 4!^ /? 2e>’t»d Lot# ______________ u,# yO 02 02-7 b □ Pre-Abate e □ OSHA h □ Other

)AILY AIR SAMPLE RECORD co 0 11 12 Sample Location 13 Time (24 hrs clock) 14 Flow Rale (L/miit) 15 16 1/ G Total Air Vol # Fibers/Fields Fiber Cone F/CC ro Sample ID Pump 12a 12b 12c Sample Coordinates 13a Start 13b End 13c Total 14a Start 14b End 14b G Number Number IWA OWA Avg (liters) Minus Blank H O Field Blank H H O 02. Field Blank

33 23 Ot:/-3rc7<; O H t2c>O/7c 2^(2^ O73f> 2 2^/ 223 (0 r H O O H H O S C26 - ah/e _jOv?jlc_2=________ // 26 ■22 ?- He Ho O H XI S O M H H 33 IZ 0-3 2/ 22 & 3.0 3.0 3.0 X > f O

N> 06 . 3 3c ^26 3c 3o co _________ M 07 3.(1 3c 3c 03 1/ 07-63 O3Q 22 7 '/O/c H

ho o o OH 1/ 12’^-^' /77c^f/i Ct 3'^366 // 33 223 3,0 Ho ac f/3 fC co o :hain of custody LAB INFORMATION (ATC ELAP # 10679, ATC NVLAP #1187) H 18 Relinquished By 19 Received By 20 Date 21 Time 22 Lab Name 23 Date 24 Time 25 Micioscope Make/Serial # □ Nikon Labophol 238913 a Analyzed By

s n b DC By □ Nikon Labophot 238917 O □ Nikon Labophot 239079 o in c Lab Batch# e.f ;:s o Analysis Methodology I 26 ATC Proiect Manager 28 Comments o 27 Result To AOCf/Hj o PCM - NIOSH 7400A co iC. (JI Mo/7c Beeper/Phone #'s Tire, TEM - AHEFIA

WHITE - File YELLOW-’- ClienVReport PINK - Lab GOLDENROD - Field NYd (1,01)

NYC-WTC_000179453

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NYC-WTC_000179453Source: NYC Law Department, mirrored locally

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