NYC-WTC_000228867

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I o dSSUCIAttS INC CHAIN OF CUSTODY FORM O4tirs 024 hrs □ 72 hrs PTOther teftfi U c o iROJECT INFORMATION CT o to 4. Prolect Monitor; 4c. Rotameter Number: o' I.CIenl: KJ 00 Sop NJ Y T^Cua,1o( U 00 O 3a Task # i 05 co (UMe- gs-£ <3. 160 V 4a. Air Sampler: HP-116 3. 03

5. Dale; 6. Abatemait Location: 7.nrcM«).!iniaMMCEl ' 8.121JEM (0/5 Btom MCE) 9(ypfc C^O Abatement t □ Environmental o Cassen&'fittBtManmaclureIHuutLrMtitfib. □ Background o Cassetu/fW Manuladiva „ M/ft d. □ Post-Abate a & Ambient o c Lot# — -.. Inl* b. □ Pra-Abate e. □ OSHA h. □ Other 3 CD JAiLY AIR SAMPLE RECORD IB. >1 12. Sample Location 13. Time (24 Urs clock) 14, Flow Rate (L/mifi.) 15. 16. 17. Sample I.D. Pump 12a. 12b 12c. Sample Coordinates t3a. Start 13ti. End 13c. Total Ha. Start 141), End 14b. Total Wr Vol. # Fibets^iekls Fiber Coot. F/CC Number Number IWA GWA Avq (liters) Minus Blank Field Blank :«• Field Blank

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1^ KJ ms /Cloo S Q o o :HAIN of CUSTODY LAB INFORMATION (ATC ELAP » 10879, ATC NVLAP # 1187) I 18. flelincniislieci Sy: 19 Received iy: 20. Dale: 21. Time: 22. Lab Name. 23. Dale: 24. Tima: 25. Microscope Make/Serial #: o o I (A 5ZZ 7?^ ""b.OCBy: 7^17^ □ Nikon Labophol 238913 KJ kO O II til ~r~ c. Lab Balch #: "________ □ Nikon Labophot 238917 □ Nikon Labophot 239079 Anatfsis Metiiodology 16. ATC Pioieci Manager: 28. Comments: 27. Result To: PCM • NIOSH Beeper/Ptione #‘s TEM ■ A HERA

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