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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_000179455
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Page 3 of AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs 06 hrs □ 48 hrs □ StandaKi ASSOCIATES INC CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrs □ 72 hrs □ Other lOJECT INFORMATION Client 2 Project Name _ , 4 Project Monitor 4c Rotameter Number

2a Project Audress 77777 3a Task # 4a Air Sampler /VZC Seo P7 AfY, /^Y. H-P '7 Date 6 Abatement Location 7 □PCM (08 micron MCE) ' 8 TEM (0 46 micron MCE) 9 Type c □Abatement f □ Environmental Cassetle/Filler Manufactuiu CasseBe/FlIler ManulacluieT^^g A°/t-C i 'LV- a □ Background d □ Post-Abate g g| Ambient /.zZ’ PZ 3 /7 Ct Lot# Lot# //7.C/ '2 b □ Pre-Abate e □ OSHA h □ Other

ULY AIR SAMPLE RECORD co 11 12 Sample Location 13 Time (24 hrs clock) 14 Flow Rate (L/min) 15 16 17 G co Sample I D Pump 14b End 14b Total Air Vol # Fibers/Fields Fiber Cone F/CC 12a 12b 12c Sample Coordinates 13a Start 13b End 13c Total 14a Start G Number Number IWA OWA Avg (liters) Minus Blank M O H Field Blank Ji

1 5- H o Field Blank

no ?3 7/^ — ii-2M 1' o H M /S' ~-7vf'74 A o o O Q ---------- H O S i 3§ — IC 1 7fc!C>U.C. /<?, cSy ? - o o G s a M 23 77. 5 '7 A G ---------- S 4/Z^i - O

9 3 o o w M no 19 /^e Auee-i-i, $ui^ /h ’ So s □ 2o ^■0 H

LO ■ :kzLYY£y_______________ O O CO O LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) HAIN OF CUSTODY H 1 Relinquished By 19 Received By 20 Date 21 Time 22 Lab Name 23 Dale 24 Time 25 Microscope Make/Serial #

77//, a Analyzed By □ Nikon Labophot 238913 □ Nikon Labophot 238917 b QCBy R [ □ Nikon Labophot 2390/9 o o [I c Lab Balch# 6^/0 Analysis Methodolotjy I ) ATC Project Managei 28 Comments o 27 Result To 7 '~zz o PCM - NIOSH 7400A CD tC. Beeper/Phone #'s 77 ^- T Q C 7 TEM - AHERA (JI LO WHITE - File YELLOW - Client/Report PINK Lab GOLDENROD - Field NV-1 (I /III) LO LO

NYC-WTC_000179455

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NYC-WTC_000179455Source: NYC Law Department, mirrored locally

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