NYC 9/11 Public Portal Document
Page
/ of
AIR MONITORING DATA
TURNAROUND TIME
ASSOCIATES
,
AND
CHAIN OF CUSTODY FORM
77/7 □ 2 hrs 0 6 hrs □ 48 hrs □ Standard
□ 4 hrs □ 24 hrs □ 72 hrs (^Other. PlsflP
PROJECT INFORMATION
I. Client:
■71 <? l?(U> Project Monitor;^. j
’ ""’'“'flAW-iLY,4.____________
.... .>2,rj|G~4r G
Kc"a.wLoJ-
4c. Rotameter Number:
2a. Pioject Address 3a. Task# , 4a. Air Sampler: _
Sc ~ 7. [7] PCM (O.fl micron MCE)
________ 00 \
8. (23 TEM (0.45 micron MCE)
^GiaxZqL H?-il6
5, Date: 6. Abatement Location: 9. Type: c. □ Abatement 1. □ Environmental
CassetlQ/Filler Manufacture NVjLAt- Background d. □ Post-Abate g. [SAmbient
Casselte/Fillet Manufacwte
5(11 C’fcAocjoL Lol# ____________ Lot# b. □ Pre-Abate eI iOSHA It. □ Other
DAILY AIR SAMPLE RECORD
w 10. 11. 12 Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17.
G Sample I.D Pump Total Air Vol. # Fibers./Fields Fiber Cone. F/CC
ro Number Number
12a,
IWA
12tJ.
OWA
12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b. End 14b,
Avg (liters) Minus Blank
G
M
O Field Blank
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H
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Field Blank
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06 5£U_________ Y59. 11'6^225 /^oo
co
o CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP # 10879, ATC NVLAP #1187)
18. ij^elinqtiished By: 19, Received By: 20. Date: 21. Time: 22. Lab Name: 23. Date: 24. Time: 25. Microscope Make/Serial #:
K
□ Nikon Labophot 238913
I // • ^5^ I7:ao a. Analyzed By:
n Nikon Labophot 238917
S Il__________ b. QC By;
O □ Nikon Labophot 239079
o
in c. Lab Batch #:
o Analysis Methodology
I 26. ATC Project Manager: 28. Comments:
o 27. Result To:
o PCM - NIOSH 7400A
co
tC. Beeper/Phone #'s TEM - AHEHA
OY
o
WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field NY-1 (1/01)
Ui
NYC-WTC_000179660
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