NYC-WTC_000205173

NYC 9/11 Public Portal Document

P.T.<SlL. Eaviroiiraestal Services __ Sample Rscord & Chain of Cnsiodv 41-1 Sena Drive, Paramus, Nevf Jersey Q7652-19'i2 • 201-262^141 For NIOSH Methodolosias

I ' me Cat. No- Worker Nams Monitored Pump Initial Flow Mean Time On Total Total ■ Sampl;

Samnie No. Sccial Security No. Antiviry - No. Final Flaw Flaw Time OCT Time Volume RssuIl! (2Zki«.; ■ Cl/Min.) (2i-hr) (ainj rij j/

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NIOSH sVlecnod Name: Asbestos / Fibers b/RCV. Total No. Ql'San-.plea: <- -AsL- / t^jlF Syi»,.,^°b Nurnher: PC. I / 7'^/

. .NlOSK Method Number: 74QQ Turnaround Time; CAir^ Std. = 7? hrs. Joo Name: lAjyC^

Meihod Sampis-'/Medin: <'l.2um.25mm, CE Callbraclon Merhoc:, Rotometer Job Location: ),'Cr Flow Rate MI.N [LPM): 0.’ Technicinr. 6£e,.ez.r

Flow Race MAX (LPM): 16-0 Labararary fSams; EA.S Method Vol MIM (L): ' 400 (@ 0,1 iVcc) Laboratory Addrssr; 4 Westchester Plaza Work Ares ; / 4 '

M5ehOd V□ 1 :Vl.AX G-): Adj, to 100 • IJQO f/Tnm2 Eimsfard, NY 10513-1610 Contra ct o r;

!# Field Blanks Required; 2 to IQ Der set Laborator-j'Teicp'iionc: [914) 592-EjSO Date: '

Medic Slinks Required: nZ [2 pe~ batch) Laboratory Far: (914) 592-8956 of Bulk Sample recuired?: Yes / No

Reiinouished Bv Received By Organization Date of Time of Reason for Print1 I Sign Print SIhu or Afniiation Transfer Transfer -T runs ft"

I 1 4^ I /.ehjd ./2-V//^ I

/ Fax resuis prometiy to ths attention of _________ at (201) 2q2-&77£ or Ji C5 FJj (^7^^, >^200 /-TT V' /a 1

CITY_21MC100_003260738

NYC-WTC_000205174