NYC-WTC_000205978

NYC 9/11 Public Portal Document

228 East 45th Street New York, NY 10017 WARREN & PANZER ENGINEERS, P. C. PAGE f OF

(212) 922-0077 AIR MONITORING LOG SHEET/CHAIN-OF-CUSTODY FORM Fax (212) 922-0630 24 hr'*’/a 12 hr‘*'/a 6 hr^/a 3 hr^/a Immediate +/a P.O. W&P FILE #; CLIENT; PROJECT;' LABORATORY; IS^Z^ZZZ PCM /TEM ) TEM CONTACT; ANALYSIS METHOD; LOCATION; - circle one 7400 KhERAZ era LEVEL II TECHNICIAN;

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I—i SIGNATURE; S SAMPLE TYPE CODES o I—i RELEASED BY; DATE; o 1 - Blank 5 - Final Clearance (inside) o I SIGNATURE; o / / 2 - Pre-Abatement 6 - Final Clearance (outside) o RECEIVED BY; DATE: 3 - During Abatement 7 - Personal LO SIGNATURE; 4 - During Glove Bag Removal 8 - Background LO

SEE REVERSE SIDE FOR ANALYSIS INFORMATION

NYC-WTC_000205978