NYC 9/11 Public Portal Document
) AIR MONITORING DATA V "3^ of t
TURNAROUND TIME
: 7■ 7, AND Y■ )aHM'
□ 2 hrs Cl 6 hrs □46 hrs □ Standard
A S S U G I A t e a I li u . CHAIN OF CUSTODY FORM7 ■ \ 7 2 Cl □ 4 hrs □ 24 hrs □ 72 hrs □ Othoi __
PRO^CT LWEORIVIATION
1.Client 2. Project Name " A 3. Project #^ 4 Prnjpf.l Mnnitnr: 4c. Rotameter Nunibec
"i
5. Date: 6. Abatement Location:
5-WIW. 4;p.|
' T^'^Q^GMjthgjTlicfOIT MCE)
&r 3a. Task.#
8. |Vj TEM (ME micron MCE)
~ “ ‘^feiELEorfe Liry
~
a Type' c. □ Ahatemsnt s / TjjxiMtBiiiaatital
a, □ Background d. □ Post-Abate r\mbient,.>^
Gassetl8/fjlle[Jilaitti(a(®re
.. rttr^ i 7 Lo! # ' 0 b. □Pre-Abate e.QOSHA li.OOlhat
DAILY Alii SAl'D'I.L i'iLCOliD
10. . :
• Sample I D.
11
Pump
: 12. Sample Location1
12a. 12b
-AT.WAfttf/Wfc-
12c. Sample Coordinates 7')
13. Time (24 hrs clock)
13a. Start 13b. End 13c. Total
14: Flow Rate (L/min.)
14a. Start 14b. End 14b.
15. 16.
Total Air Vol. # Fibers/Fields
1’-
Fiber Cone. F/CC
^Number Number IWA QWA Avg (liters) Mirais Blank
3KZ Field Blank
Retd Blank
•
Tt
v®"
01 <p' r
Of h'\ HiAiWAy wrsipe 77
or #7/ roG £) 0
01 fovuniitJefrn^fl I T
2;^,
‘^LAymiiND > wnW //7 %flq £7 0
0)0 tEw 7.1
0 47.7 7a
o CHAIN di= CUSTODY lAb INFOHMATION (ATC ELAP # 10879, ATC NVLAP # 1187)
H 22. Lab Name: 24. Time: 25. Micrcscope Make/Serial 4-:
r to
18 Relinquished By: 19 Received By: 20-.,Dat8;^ 21. Time:
a. Analyzed By: .
23. Date:
7) Nikon Labophot 23891:3
b. QC By: ;: : □ Nikon Labophot 238917
I
o
o
c/Lab Batch #:
W3z □ Nikon Labophot 239079
Analysis Metlwdoloay
o 26. ATC Project Manager: . 1 28. Comments:
to
AHavz;iT3-Mr»ii| 27. Result To: PCM - NIOSH 74COA
(^'irivr AHEFCV^'-c
Beeper/Phone #‘s _
cn
00
co WHITE Rie YELLOW - Client,'Report PINK - Lal ) GOLDEWROO - ReW WY-I (I.TM)
VD
NYC-WTC_000201829
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