Air monitoring log sheet and chain of custody form

NYC 9/11 Public Portal Document

MBEssl 45ttiSjreM New Vara. NY 10017 (212) 922-0077 P.O. Fax (212) 922-0630 WARREN & PANZER BNG ,p.c; AIR MONITORING LOO SHBET/CHAlN-OFCUS^rODY FORM

i CLIENT. W&P FILE »: g AnalysisMeltiod: PCM-HOP PROJECT: Tn*r^y' TURN AROUND: (circle one) LxA! LOCATIQN: TECHNICIAN: TEM-EPA LEVEL II I Y:--SiMllRJE^::;;' SAMPLE PUMP FLOWRATE TOTAL i sample start on-Foff M<iteis)’(ftbJcQ.) . J J i 5, •! 3 id.

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o H SAMPLED BY: DATE: L' - SAMPLE TYPE CODES- ' . / I

I o SIGNATURE- released BY: DATE: 1 - Blank 2 - Pre-Abstomeni S'. 5 - Anal Clearance (inside) 6 - Final Clearance (outside) o Io SIGNATURE: 3 - During Abalement 7 - Personal o LO RECEIVED BY: DATE: 4 - During Giove Bag Ramoval te-Sackgreund 4^ SIGNATURE: 6tE REVERSE 8tOE FOR ANUYSIS INFORMATION

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