NYC-WTC_000187293

NYC 9/11 Public Portal Document

Riverpoint, Inc. 71 Ullside Avenue, Sulie lOO » New Bocltellc * New York lOHOI-1608 (014) 0324552 Tele|>lK>ne (014, 632-155H Focslinlle

PCM Air Sample Analysis and Calibrailon Form Jl)t» Niiinhnr: 101*171---- - Jot) Name: WTC PC FA P ■ Pinal Clearance P ■ Pro-Aba(eiiien( Dale: Page 4.S Work /Vea: N/A — I • insUlo Work Areal Pleld Technician: 9i' Contractor: N/A O ■ Ouisitle Work Ar^ Project Manager: R Flvenaes___ Shift Ilnurs*. A - Ambient. OiiisUI^ Bulkllng Number of Workers: N/A Inlilal Hiuil Av^n»i{<; Total Total l-lllCfSAX S<uiH>lu Sritiifiic 1*110)1) Mow l-llHV pW)W TJimo TJdic TIiikj Iv’dIimiic IJinltnl I niosi I nnL*flAk»t Ni Il tii iiiUifi »iKl Acllvliy jyi*! 7400 fWU6ft A /I

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J Calibration MoHmxI: Rnfamflter Signature: o Chain of Cusiody I H K ncU;<is<;(l by; Slgmiiiifo: Z'l'linc: (S': oO Acccphxt by: signature; • bale: nmo: Z^ZZeZZ s o ItcIcliScU by; nahs Accupied by: y Bale: o Si iiufe _ ___________ Signature: __________ Time; o Accepie<t by; I nclca;icdby; _________________ OQUS: Dale; o SIgAaiure: __________ o ggnalurc; Time; Time: cn

NYC-WTC_000187296