Air monitoring log sheet and chain of custody form

NYC 9/11 Public Portal Document

226 Eut 48111 Sfevet PAGE OF o NewVork, NY ,0017 WARREN & PANZER ENGINEERS, P. C. co o (2,2) •22<«P7 AIR MONITORING LOtJ SHEET/CHAIN-OF-CUSTODYFORM o ro Rix (212)022-0630 24 hr^/a 12hr*/a 6hr'*‘/a 3 hrt/a Inmediate ^/a P.O. o o ro W&p FILE#. Co yt-01 -Or CLIENT: ___________ LABORATORY: CONTACT; PROJECT: SrPx X ANALYSIS METHOD: PCM TEM LOCATION, 7Q t^OlVT) Sf circte one 7400 EPA LEVEL II £ TECHNICIAN: SAMPLE SAMPLE\:.Y-?v,:;; SAMPLE PVMP FLOWRATE TIME; total VOLUME CONCENTR. NUMBER/ / dE^HiPTi9Wft.oc/ak?N startstop TME (ItTcrs) *• G ( ____ 's ' “t: 7.(00 o 09

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'o > ^MPLE ~~ DATE?W^^^ 'Toz-g^" SIGNATURE: _______ $AMPLEP/PE GODES RELEASED BY; PATE/^-^^ 1 - Blank 5 - Final Clearance (inside) c SIGNATURE: o DO 2 - Pre-Abatement 6 - Final Clearance (outside) o DATE'7^^j^ RECEIVED BY: _ 'iWS, K'

W£ 3 - During Abatement 7 - Personal o o SIGNATURE: o o 4 - During Glove Bag Removal 8 - Background -> 05 SEE HEVEtaE SUE FOR AMAVVSI3 mTORMAinON 00 4^

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