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Riverpoint, Inc. o CT o o' 00 "0 o Ca5 O> 9L 7 Hillside Avenue, Suite 100 • New Rochelle » New York 10801-1608 O o (914) 632-1552 Telephone (914) 632-1558 Facsimile o c 3 o PCM Air Sample Analysis and Calibration Form 3

Page _Z^ of Job Number: 10 171 F = Final Clearance Date: |Q Job Name: P= Pre-Abatement

Work Area: I = Inside Work Area Field Technician: Contractor: O = Outside Work Area Project Manager: g,, Shift Hours: A = Ambient, Outside Building Number of Workers: I z““ I Z7~ I b?' : I Initial Final Average Total Total Fibers/cc Sample Sample Pump Flow Flow Flow Time Time Time Volume Limit of NIOSH Number Location and Activity Type Nunpber Rale(t/m) pate(l/miRate(l/m On Off (Minutes (literx) Detection 7-100 'Lo 'f-O KO­ TTW IP'Ip Z3E IIZ2Z OL IQ- ZP I' ZZma lt~T 155 lOZ asm (O' gjQ II “TT" i5 • a "7r“ i5 0 ZtZE KTT MT W3E zfizz 'O-fZjD n (0-{l> fe ZW 1510 IM.?

Q H Calibration Method: Signature: K I Cj;)ain of Custody s o Released by: Date: Accepted by: Hie Date: InJ- <7 1 I o o Signature: Time: N ui> Signature: Time: wo. I Released by: / Date: Accepted by: / ' Date: o o Signature: Signature: Time: _______________ Time: Released by: _________________ Date: Accepted by: - ,Date: CD Signature: Time: Signature: _____________ Time: