NYC-WTC_000196273

NYC 9/11 Public Portal Document

22B Easiestfl Street PAGE ? OF^ New York.NYIMl? WARREN & PANZER ENGINEERS, P. C. (212)9224)077 AIR MONTTOKING LOG SHEET/CHAIN-OI'-CUSTODY FORM Fax (212) 922-0630 24 hr'^/a 12 hr'^/a 6 hr^/a 3 hr'^/a Immediate "^/a RO._____________ W&PFILE#: CUENT: ---------- LABORATORY: CONTACT: /Vi PROJECT: ANALYSIS METHOD: TEM TEM LOCATION; circle one 7400 AHEW<EPA LEVEL II TECHNICIAN: /■ ’'-r

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H SAMPLE BY: DATEj f I—i SIGNATURE. s o o RELEASED BY; DATE; o 1 - Blank 5 - Final Clearance (inside) I SIGNATURE:____________________ o o 2 - Pro-Abatement 6 - Final Clearance (outside) co RECEIVED BY; DATE:^ZZg^^.g LO 3 - During Abatement ^T^Personal co LO SIGNATURE; 4 - During Glove Bag Removal fK'^^^ckground O SEE REVERSE SIDE Fl iLVSBINFORMATrOM

NYC-WTC_000196273