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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_000180118
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NYC 9/11 Public Portal Document ‘rags ’Z ‘ON UHGUNO SAILOWLOdd OL Loarans 80072 LUZEIVENO OO TOATE ALI /TWILNACIANOOD 2) h a) ¢ ux ALS ' W/ AIR MONITORING DATA Page of ; AND TURNAROUND TIME . O2hs []6hrs []48hrs [Standard ASSOCIATES INC. { AG 4 ww, CHAIN OF CUSTODY FORM [J4hrs ()24hrs []72 hrs [] Other PROJECT INFORMATION 7 _ 1. Client: 2. Project Name AMPA\LNT Al ‘Z SA H Ny Ned 3. Project # 4, Project Monitor: Aw ~ T4c. Rotameter Number. mu C COE 2a. Project Address 7. 3a. Tas 4a. Air Sampler: => “f° . JCOTEIVIY PANY | |B B¥OO | 4 Prop DoT 5. Dale: 6. Abatement Location: 7. [_] PCM (0.8 micron mce) B. [UF TEM (0.45 micron mce) 9. Type: c. (] Abatement f. [7] Environmental L-| ope C s yLlool Cassette/Filter Manuf Cassette/Filter M a. (-] Background d. (-] Post-Abate a. Ambient Lot # lot # b. [] Pre-Abate e. [| OSHA h. |] Other DAILY AIR SAMPLE RECORD ; _ 10. 11, 42. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min.) 15. 16. 17. | Sample 1D. Pump 1794-112. ]12c. Sample Coordinates 13a. Start ]13b. End |13c. Total |i4a. Start 114b. End [14b, | Total Air Vol.| # Fibers/Fields| Fiber Conc. F/CC Number Number WA | OWA Avg (liters) Minus Blank |, 1 | ield Blank . - | Field Blank on C21 LNCz FCCC. (Da Face mel & denn 42? all \y 192 lee las be QT roe. a HS [fo AS SL 10 PyvA p = | CHAIN OF CUSTODY LAB Mone (ATC ELAP # 10879, ATC NVLAP # 1187) 18. Relinquished By: 19. Received By: 20. Date: | 21. Time: | |22. Lab Name: AIC — 7 Ent 93. Date: | 24. Time: | | 25. Microscope Make/Serial #: alt L oe of Ly bic ie TG al (loa) 2175, a. Analyzed By: i IAG A WA AVE a [J] Nikon Labophot 238913 ' b. OC By: £4] Nikon Labophot 238917 Ht c. Lab Batch #: {J Nikon Labophot 239079 26. ATC Proiect Manager: 38. Comments: Analysis Methodology 27. Result To: PCM - NIOSH 74004 (AQ TE REBEN Beeper/Phone #'s CTEM - AHERA _) WHITE - File YELLOW - Client/Report PINK - Lab GOLDENROD - Field - a NYC-WTC_000180118 NY-1 (1/04)

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NYC-WTC_000180118Source: NYC Law Department, mirrored locally

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