NYC-WTC_000187290

NYC 9/11 Public Portal Document

Riverpoint, inc. 7Hillside Avenue, Sulie lOO • New Rochelle • New York 10801-1608 (014) (5321552 felephone (014) 632 I55H Facsimile

PCM Air Sample Analysis and Calibralion Form Job NuinbcT: 101171 F ■ Final Clearance Page 2 of T Job Name: WTC PCM F • Fre-Abaieineni r>aie; /T or- Zoo/ Work Area; n/a_______ I =■ Inside Work Area Field Technician: n Coniracior: N/A_______ O ■ On Is 1(10 Work Area I’rojeci Manager: R FIvonapR Shift Hours;n/a A ’ Ambient, Oniside Building Number of Workers: n/A Initial Miuil Avcragt; Total Total Ml Kirs/cc Sninple Saiii| lie Pump Mow Mow Mow Time Time - Tlino Voldiiic I.Il I lit ni NIOSJI Ni II liber l .iK iiilnri and Activity Tyix: Paie(l/in) 8aic(lziD) naleilAul Numlier naie(l/i On Oil (Minutes' (litersl Deiccilon 7400 oi-K5~ Park Place/Church A Sg ITT MoT 1^0 _________ 03-(l-S Murray/Church_______ A w~~ IkJT IKS in IQ "ITT -W 331 _________ 06 North End/Warren A tEi 3311__ 07- I? -S West St./Warren 14-(2,-g River Ter./Park PI. A A N -G AZICi-b S2S Till___ w E2X 3xZ__ 15 -iZ River Ter./Chambers A "VT SIS Di>6 _________ 16- tZ- b River Ter./Warren A iOS . (p Jn 17 North End/Park PI. ___ EI Ta-iL 5' River Ter./Vesey A KG Ko IES AS I I Calibrullon Mell tod: Rnfamptpr Slgnaiure: Chain of Custody Itcleased l>y: JOitle: Accepted by: M. t llC Pale; U UT I o Signature: Slgniitiite; .A )7_ 1>I < H itelensedby: ' t^t« Accepted by: I—i Si lime; TInre: Slgi-»at<ire: _______________ Time; s o Heleasedby; _________________ _naic: Accepted by: ________________Da le: o Slgiiatme: Time: SigiSaliiie: _______________ Time; o Io o

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NYC-WTC_000187291