Air monitoring data chain of custody form, Jan 2002

NYC 9/11 Public Portal Document

Page of J AIR MONITORING DATA TURNAROUND TIME AND □ 2 hrs □ 6 hrs □ 48 hrs □ Standa^ CHAIN OF CUSTODY FORM □ 4 hrs 0 24 hrs □ 72 hrs □ Othei A ’ROJECT INFORMATION 1 Client 2 Project Name . 3 Project# 4 Project Monitor 4c Rotameter Numbei

3a Task # 4a Air Sampler

5 Date 6 Abatement Location n |0 8 micron MCE) B TEM (0 45 ITlIcron MCE) 9 Type c □ Abatement f □ Environmental CassettB/FiHerManiJfaciure Casselte/Hter Manufaclcrs a □ Background d □ Post-Abate g S/Ambient LM# // 7. e □ OSHA h □Other Lot# __________________ b □Pre-Abate

3AILY AIR SAMPLE RECORD 10 11 12 Sample Location 13 Time (24 lire clock) 14 Flow Rate (L/min) 15 16 17 w Sample ID Pump 12a 12b 12c Sample Coordinates 13a Start 13b End 13c Total 14a Start 14b End 14b Total Air Vol # Flbet s/Fieltfs Fiber Cone F/CC G Number Number to IWA OWA Wg (liters) Minus Blank G M Field Blank n H Field Blank H O a 23 y I't O H M O o H o a ' ly 3^3 < a M a o H 23 a a n // c’d y L> (? M 23 > G S O fl . /Vo-/ X? "X? C^Og i7Y/

w U 36 2 4> y <? M a H - y to -’O 203 tZe o o co CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187) H 18 Relinquished By 19 Received By 20 Date 21 Time 22 Lab Name 23 Date 24 Time 25 Microscope Make/Seriai # A

I A

to T II ZG 4 f- ZW/ a Analyzed By

b QCBy □ Nikon Labophot 238913 □ Nikon Labophot 238917

in c Lab Batch # .'i/f □ Nikon Labophot 239079

o Analysis Methodology 26 ATC Project Manager 28 Comments 1° 27 Result To PCM - NIOSH 7400A o o Beeper/Phone #'s £6?^ AHE^'i Ui Vr/fZ '/ez/(\^ez? cn WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY-1 (1/01) cn o

NYC-WTC_000179457