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Air monitoring log sheet and chain of custody form

Machine-extracted title · confidence 90%

Blank air monitoring log sheet and chain of custody form from Warren & Panzer Engineers for recording sampling details and laboratory submission.

NYC-WTC_000186760
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Scanned page image, NYC-WTC_000186760
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

32a East 4»h Strael MawVsrk, NV 1*1017 WARREN & PANZER ENGINEERS, K C. PAGE OF (212)322-0077 AIR MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM co o CT Fax <212) 922-0630 24hr+/a 12hr+/a 6hr+/a 31ir+/a Immediate +/a P.O. Q ___________ __________ CLIENT: _______ ___________ LABORATORY:_____________ PROJECT: ANALYSIS METHOD: PCftT/^M ) TEM LOCATION: circteone 7400 lAHe^EPA LEVEL 11 TECHNICIAN: SAMPLE J'Sample " sample PIBWP yflc^rate; TIME TOTAL VOLUME CONCENTR HUMBER PESCHIPTION/LOCATIQM TYPE ; # START STOP 014.3 TIME : (liters) I 3-5 ___ "T“ "rTir-tr" ___ Of „ S__ oT /soz is JI 7/g 5 1 -JI

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H 51 to SAMPLE BY: K I co CM SIGNATURE: _ I o €M O ^leasedby- DATE: 1 - Blank SAMPLETYPECODES 5 - Final Clearance (Inside) I o o SIGNATUHE: 2 - Pre-Abatement 6 - Final Clearance (outside) o 'x

o lO w RECEIVED BY: DATE-.Si^^ 3 - During Abatement 7 - Personal LO 00 o SIGNATURE: _ 4 - During Giove Bag Removal 8 - Background O SEC REVERSE Side KJH ANALVSiS (H FORMATION

NYC-WTC_000186760

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NYC-WTC_000186760Source: NYC Law Department, mirrored locally

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