NYC-WTC_000220314

NYC 9/11 Public Portal Document

P.T.&L, Environmental Services . Air Sample Record & Chain of Custody lette Drive, Paramus, New Jersey 07652-2912-201-262^141 /t^ncxf-r- For NIOSH Methodologies

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"r I Lab. No. Sample No. Worker Name

Social Security No. Monitored

Activity Pump Initiat Flow No. Final Flow Mean Flow Time On Time Off Totol Time Total Volume Sample Results (L/MiH.) CUMin.) a4-hr) (Min) a; (ug/mgJ)

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C •/ 5^ 2 j6BL < .3 4^ za?6? Jl ) w 129343 , 129344 , Asbestos / Fibers by PCM Total No. of Samples: / /e^^) Job Number: /’y 777^/ (7 «, 129345 " M 7400

<1.2uin, 25mm, CE Turnaround Time:

Calibration Method: Rotameter Std. = 72 hrs. Job Name:

Job Location; -3^ 7

f-- - 05 Technician

' 129347 *— Laboratory Name: EAS

L): 400 (@ 0.1 Pec) Laboratory Address: 4 Westchester Plaza Work Area:

120343 L): Ad), to 100 - 1300 Pmm2 Elmsford; NY 10523-1610 Contractor:

• 129349 ed: 2 to 10 per set Laboratory Telephone: (914)592-8380 »•<« M.------------- ....red: n/s (2 per batch) Laboratory Fax: (914)592-8956 Page / of

Bulk Sample required?: Yes No'

Relinquished By Received By Organization Date of Time of Reason for Print Sig" Print Sign or Affiliation Transfer Transfer Transfer

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Fax results promptly to the attention of at (201) 262-6778 or a\ArFSMsofncp.MrtwR.MsiAi«xcxLs

CITY_21MC100_008102912 N YC-WT C_000220314