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Chain of custody form, air monitoring data

Machine-extracted title · confidence 90%

Chain of custody documentation for air monitoring data samples handled by ATC Associates Inc.

NYC-WTC_000180117–000180118
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Scanned page image, NYC-WTC_000180117
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NYC 9/11 Public Portal Document / / i? AIR MONITORING DATA Page of TURNAROUND TIME AND □ 2 hrs □ 6 hrs □ 48 hrs □ Standard ASSUC1AIES INC. /flfl 7 CHAIN OF CUSTODY FORM PROJECT INFORMATION 07 CP □ 4 hrs 0 24 hrs □ 72 hrs □Other

1. Client: 2. Project Name A\^ ING? 4. Project Monitor: \ 7 4c, Rotameter Number: "Wye ■k/LhVG 2a. Project Address qQ 'Till M7 3a. Task # ±(X)5>) 5. Date: 6. Abatement Location: 7. 0 PGM (0 8 micron MCE) 8- H^EM (0.45 micron MCE) 9. Type: I (:.□ Abatement f. □ Environmental Cassetla/Fillet Manufacture 22 Cassetle/Filrer Manufacture __ a. n Background d. □ Post-Abate 0 (S^mbient Lol# ________________ Lor# / (g b. n Pre-Abate e. □ OSHA h. n Other

DAILY AIR SAMPLE RECORD 10 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. Sample I.D. Pump 12a, 12b. 12c. Sample Coordinates 13a. Start 13b. End 13c. Total 14a. Start 14b, End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC w Number Number Minus Blank G tWA OWA Avg (liters) W G Field Blank H O( n A Field Blank H o rd V o 03 H Pl jKi dr O H O O A.5 IsoS 3

12 fl; 3 H X §O a M 3 OS I AM 9-5 A H Pl 73 > rc A (A' 3 O \ArxUtA/AV Afl, An |flj7ri 9.5' <14 (MA qey y w pt (Jlt'L'NCz- 9-AH IS fll 9.5 9.5 9^5 Pt 32. H

to o 925 AH Sl’ii 9.^ 9.9 o CHAIN OF CUSTODY__________ _ LAB INFORMATION (ATC ELAP # 10879, ATC NVtAP #1187) co 22. Lab Name: 3 TC 3/ 25. Microscope Make/Serial #: Q 18. Relinquished By: 19, Received By: 20, Date: 21. Time: 23. Date: 24. Time: □ Nikon Labophot 238913 a. Analyzed By: 3^ / bToCBy^ □ Nikon Labophot 238917

3 Q 26. ATC Project Manager: 1 c. Lab Batch #:

26. Comments: □ Nikon Labophot 239079

Analysis Methodology 27. Result To: PCM - NIOSH 7400A 'g Beeper/Phone #'s <Tem7ahera35 rt. WHITE - File YELLOW - Client/Report PINK Lab GOLDENROD - Field NY-1 (1/01) GJ to iJi

NYC-WTC_000180117

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NYC-WTC_000180117Source: NYC Law Department, mirrored locally

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