NYC-WTC_000206834

NYC 9/11 Public Portal Document

I Riverpoint, Inc. ZHillside Avenue. Stille lOO • New Bochellc » New York 10801• 1608 (014) (»32 1552 icleplwne (014) 632 I55H Facsimile

PCM Air Sample Analysis and Calibralion Form Job Nomi x'.r: 101171 F • Final Clearance Page of 3 Jf)b Name.: WTC PCM P • Pre Ahnieiiieni Dale: 03 ~<P? Work Area: N/A I • inskle Work Area Field Technlcian:,^or5<^^k^««^^i^ Coniratior; N/A O - On I side Work Area Projeci Manager: B.EIvenaes 51)1(1 I lours; N/A A • Ambieni. Oniskle Bulklina Number of Workers: n/A___ ____ Il lilial I'IliaI AverajJe: Total Total PilxjfSA^c Sample Sample I‘limp I •low Plow I •low Time Time Timo Volt II DU ijiiiii i>i NtOSi I l.oiiiilooaiwl Aclivliy NiimlM;i lyix: Niimliur nfucii^ naicii^ naieii^ On OK (MItmics (lliers) Dcicnlon 7.100

p 01^~g)j Park Place/Church A 45~ 02 Qi Of Park Place/Greenwich A TZlUL 03g3 o'? Murray/Church A O^OiO] Murray/Greenwich A VT/t 05^^ Fulton/Church

J®. 20 0^ Trinity Pl./Thames Of Vesey/West Broadway FB1«o7 Field Blank 1 A ,A A It ZEX Ik. 3 Ik.3 ^27 TYJ f3.e FB2O5<)7 Field Blank 2

Cciiii mil loll McilKKl: Rotameter Signature;

Chain of Ctisiody Q ncluiise<lbyZ^^^^^^^^^^Daiis Acccpiurl by; %JfluO V/lr/O Date: H .Slgiuihifu: SIguantre; \StLz^ JIme: I—i Keluusutiby: Dak^ Aceupicd by; bale: S 11/ CAJ o s. iiure: \ i>A IN \) 'I line: Slgnaaire; Time; /<! I—i o HcIcascU by: (J Date; Acccpie<l by: Dale: o I SlgnaHiie Tlnic: SIgfSaiiire: Time: o o co

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NYC-WTC_000206836