NYC-WTC_000231431

NYC 9/11 Public Portal Document - Riverpoint, INC. 7 Hillside Avenue, Suite [00 « New Rochelic « New York 10801-1608 (91-4) 632-1552 Telephone (O14) 632-1558 Facsimile PCM Air Sample Analysis and Calibration Form Job Number: [J [17 [ Job Name: _DéF bat C Work Area: VIA tH Page a of Date: __}O~ [p> Le Field Technician: A.M Ehobise | Project Manager: Bb. ELVewS6) F = Final Clearance P = Pre-Abalement 1 = Inside Work Area O = Oulsiddee Work Area Contractor: MIA Shift Hours: vA A = Ambient, Outside Building Number of Workers: Wife initial Final {Average Total Total Fibers/cc Sanypale Sample} Pump low Blow Flow | Time 7 Thine Time | Volume] Limitof } NIOSH Number [Location and Activity Type {Number| Rate(¢anyRate(ymyRate(any On Off jiMinustesy (liters) [Detection] 7400 EO? | Wathen /ruetoe | A Ie@Y HS 0 1/5 ol Po ih ie? GS : f lp 5 Calibration Method: COTA METEL Signature: xf ED : Chain of Custody 4 eo Released by: _ ft. Me LOBISBae: (0 {Ole} Accepted by: Vi / PAWUIL Date: lO 'e lee) z Signature: He MM City 7) Time: f Y gv Signature: Mu fe Time: Noe S Released by: VA Date: Accepicd by: re Date: Ie Sr lure: Time: Signature: Time: © Releasect by: Date: Accepled by: Dale: S Signature: Time: Signature: Time: a ol NYC-WTC_000231449