NYC 9/11 Public Portal Document
Page of
AIR MONITORING DATA
TURNAROUND TIME
AND
□ 2 hrs □ 6 hrs □ 48 hrs □ Standard
A(«OCIAT(i
CHAIN OF CUSTODY FORM □ 4 hrs □ 24 hrSy-O 72 hrs □ Other
PROJECT INFORMATION
1. Client: 2. Project Name 3. Project# 4. Project Monitor 4c. Rotameter Number
2a. Project Address < 3a. Task # 4a. Air Sampler
5. Date: 6. Abatek^nt Location: 7>£^PCM (0 S nilcroi, MCE) 8. OTEMlOWmlcninMCE) 9 Type. C □Abatement I. □ Environmental
^Cas$Btt!/R»«r M«iulaclur» _ a □Background
Cassette/ntarManulwture d □ Post-Abate JpBdLmbient
Lol# Lol# b. □ Pre-Abate e. □ OSHA h. □ Other
DAILY AIR SAMPLE RECORD
10. 11. 12. Sample Location 13. Time (24 hrs clock) 14. Flow Rate (L/min) 15. 16 17.
Sample I.D. Pump Total Air Vol # FIbers/Flelds Fiber Cone. F/CC
’ WA ’^^A 12c. Sample Coordinates 13a. Start 13b End 13c. Total 14a Start 14b End 14b.
Number Number Ayg (liters) Minus^ank
Field Blank 4
i’.'
__ oA Field Blank
E> 1^0 7 7
o
1^
o
m
"O
O
J]
DO
ii^dV/ _____
> CHAIN OFCUi LAB INFORMATION (ATC^LAff # 10879, ATC NVLAP #1187)
z 118 Relinquisl^BjT I ) V 119 Received By:
20. Date: 21. Time:
22. Lab Name: /
23./)at^ 24. Time: 25. Microscope Make/Serlal #:
z
> a. Analyzed By:
_B^ikon Labophot 238913
> I □ Nikon Labophot 238917
£
c
II
III
b. QC By:
c. Lab Batch #: □ Nikon Labophot 239079
CD
1”° Analysis Methodology
26. ATC Project 28. Comments:
o PCM - NIOSH 7400^
o
o
o Beeper/Phone iTi________________________________ TEM - AHERA
o
ro
cn WHITE-File YELLOW -Client/Repofi PINK-Lab GOLDENROD - Field NY-1 (1/01)
1^
NYC-WTC_000210619
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