NYC-WTC_000187293

NYC 9/11 Public Portal Document

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Riverpoint, Inc. riUllsIde Avenue, Sulie loo • New BoAielle * New York I0H01-160B (014) <5321552 Tciqilwne — (014) 632-1558 Facsimile PCM Air Sample Analyst 1 5 a nd Calibration Form 1 Job Niiiul)(;r: 101171 F • Final Cleara ir<i Page F - Fre-Ahaicm ini Date: 17. ^<2 0[ J()l»Ntune: WTC PCM 1 • Insitle Work Ar fca Field Technician; L/tnAtniu t^kox/ Work Aren: N/A Coniratior: N/A________ O ■ Outside Wo Area Project Manager: a FlvAnaPs Shill I lours; m/a_______ A « Ambleni, Outside niillrling Number of Workers: M/A_____ liililiil l-llMl, Avcrittfi: Total Total PllxjrsAX Siinijitu Snnipl*' Ihinip I-low How I'low Til I IO Time niiXJ Vnliiiiio Ml I III of Ninsi I Ni II III Mir I .< >1 -I I linn iHMf AclMiy 1YIHI Ni mil Kir nnniihn) nni<t(l/ini nmuiUni On . Oil (Mini Ilea (Uietsl neliicitnn 74fX) OFi 113.0 _____ 4 IH,1 /V.7 4'S' P. liXtf r~^ 12.30 ^4hAri'/V.ki,w A -40^ Ik,7 /<sz /(/.•fS- 4^6 I?, P 9-* ZZZiA IC 1150 ■■A- UOL. -IO. /1/.7 /i/,7 yj~ 66/.S~ 0- c^y~l' ZZo/) It It-^ />. ICf Iti '? l/:S2. ilkiz o-C ,|X 12-3G Vt ^tr.~. —ICI -ii<L /V.7 __U1X- -1^ ILUik 6>. 0»OJ' ____L

Calil mull 111 McilMMl: RofamefAr Signature:

o Chain of Custody H lfck;iisi;(l by; [ ■ Drutg UAHa^Tlnw iz St? at Accopiud by: Slgiuiiiifu: li.oo SIgntiiiire: Time; ho ___________ bale: Acccpicd by; nai^ I o Uclciiscd by: ____________ Time: Slitiiaiiire: ______________ note: ftelcascd by: ________ Dous: Acccpierl by: Pai^ o I StgiWIiifc; Time: \ SIgAaiiiie; Time: o o ho VD C7>

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NYC-WTC_000187295