NYC-WTC_000200150

NYC 9/11 Public Portal Document

-/I II TAYLOR ENVIRONMENTAL GROUP DAILY MONITORING SHEET AND CHAIN OF CUSTODY RECORD PAGE _J__ 0F CLIENT A si^HEss DATE SU8MIKED

- , Aay , M X ■ DATE SAMPLED CONTACT WORK AREA DATE LOGGED

If. 2. 5. o-z HOTOMETER NO. PROJECT NO. < Iprojectma A^e^ DATE APPROVED / SIGNATURE

- 2/ ;_____ ____________________________ SAMPLE & LABORATORY SAMPLE LOCATION, AREA & FLOW TIME TIME OURAHON FLOW (AVEH- LITERS FIELDS FIBERS F/MM? PUMP# NO. HEIGHT AND/OR EMPLOYEE ON/OFF ON OFF MINUTES AGE) IWA □ OWA □ i7______ /oi>r 0^2-7 z/.r OWA □ IWA d If t /f’/Lx

«-■ OWA a ( IWA □ OWA a z/,r IWA d OWA □ IWA □ OWA □ IWA a OWA O IWA a OWA a IWA □ OWA a IWA □ OWA □ IWA □ OWA □ n IWA a H OWA a LO I—* RELINQUISHEO TOUOeABfM^lSIONATURE) DATE TIME PECENEO FROM TEQ DROP BOX (SIGNATURE) DATE TIME L cinci.E I s Q PCM TEM o RELINQUISHED BY: (SIGNATURE) Bate TIME •D BY; (SIGNATURE) DATE TWE — BGRD PRI o I OSHA^ /other ANALYST; (SIGNATURE) DATE TIME ro LOT« 1? M.l ' S^/6- 1(^TER TER MA^UFACWRER o WHITE: Oriice Copy YELbQW: Lab Cop^__-WfK: Samples ORANGE: SitTcopy Ln tn

NYC-WTC_000200150