NYC-WTC_000205100

NYC 9/11 Public Portal Document

KAUCOHSONTS 25-«3lthSlre&l CHAIN OF CUSTODY FOR ASBESTOS AtR MONITORING

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co LonglilandCily CM CLIEMT: SAMPLING DATE: W'.{ni|729.19W PROJECT; , ADDRESS; ///^ 3 wg fax: 08)729-1876 LC /33 Z^y /YS3 I^^S=BaSSBXSSS==5SSS==^=SBSSa SSSBS FIELD DATA JI ssssasss LAB ANALYSIS R W FLOW FLOW VOLUMeB FIBERS SAMPLE E o TIME TIME iSETTE TYPE LOCATION BEF. AFTER PER l_AB to # iO# S R IN OUT (Wers) iMM |37MM (Ipni) (Ipm) P K TEST METHOD; 0/ 4 3 3 PCM TEM 12 -

IMMEDIATE s 5o 12-HOUR

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^ATE & TIME Of ANALYSIS; 03 CO cn CM SAMPLE TYPE; A=BACI«3R0UND, B=PREABATEMENT. C=DURING ABATEMENT, D-POST-ABATEMENT i/iFn Q co E=OUTSIDE WORK AREA. F=INSIDE WORK AREA. G=MICROTRAP EXHAUST DISCHARGE f H H=DECaNTAMINATION FACILITY. ^CRITICAL BARRIER. J=OUTSIDE BLDG K=FIELD BLANK L= AIR quality. M = COMPLIANCE MONITORING LM TYPE OF RESPiRATDRS: i = Hale face, 2 = PAPR. a = type C 4 = other (specify); So CM TYPE OF WORK 1= BLOG decon. 2 = PLASTICIZING. 3 = GROSS REMOVAL. 4 = GLOVEBaG 5 = CLEANING C3 L/l in I—i e = ENCAPSULATION, 7 = BAGOUT. B = OTHER (SPECIFY). ' o o PAGE /of / Io CM TECHMCIAM: 11^^ ROTflMETBR: <S o CD co o CM I CHAIN IrELINGUISHED BY; jcOMMENTS; BrECEIVED AT LAB BY. X cn CM OF METHOD OF SHIPMENT: lAMPLE CONDITION UPON RECEIPT; co co a> GD IclistodMdate/time: /? »ATE/NME. CT) co

NYC-WTC_000205101