NYC-WTC_000186560
Blank air monitoring log and chain of custody form template for asbestos sampling by Warren & Panzer Engineers.
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Air monitoring log and chain of custody form, Warren &
Machine-extracted title · confidence 90%Chain of custody and air monitoring log sheet for asbestos sampling conducted by Warren & Panzer Engineers.
NYC-WTC_000186558Page image
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OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
22fl East «th Street fl PA' OF New York, NY 10017 WARREN & PANZER ENGINEERS, P. G. (212)922-0077 VZ AIR MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM Fax (2t2) 922-0630 by/^> 12 hi-*/a 6 hr'^/a 3 hr'^/a Immediate ‘’’/a P.Q.
CLIENT: CONTACT: LABORATORY: PROJECT: ANALYSIS METHOD: CM TEM TEM LLWtf: LOCATION: circle one 7401 AHERA EPA LEVEL II SCA JOB#:
■■■ TECHNICIAN:
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COMMENTS: Q SAMPLE BY: .- DATE: /^y^/ H SIGNATURE: I—i s o RELEASED BY: DATEy^:^^/^ Blank 5 - Final Clearance (inside) o o SIGNATURE: 2 - Pre-Abatement 6 - Final Clearance (outside) I OI o RECEIVED BY; DATE: 3 - During Abatement 7 - Personal ro LO SIGNATURE: 4 - During Glove Bag Removal Background SEE REUEASE SIDE FOR ANALYSIS INFORMATION WH&T-y Ui
NYC-WTC_000186558
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NYC-WTC_000186558Source: NYC Law Department, mirrored locally
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