NYC-WTC_000231431

NYC 9/11 Public Portal Document

liO , Riverpoint, Inc. y'l lilLside Avenue, Suite 109 • New HoebeUo • New York 10801-1608 (914) (532-1552 I'eleplione (914) 632-1558 Facsimile

PCM Air Sample Analysis and Calibration Form Job Number; 101 17 ( F = Final Clearance Page of JoL) Name: p = pre-Abaiemem Date; I f q/____ Wr)rk z\rea: Ct 1 = Inside Work Area Field Technician; Vsvgf Coniracior: A "t O = Outside Work Area Projeci Manager: Shift Hours; Ambient. Outside Building Number of Workers; M /A 11 lilial Final Aveiiigo Tolal Tolal Hibers/cc Si uni lie Stimi lie Pump I-low I'low I-low Time rime Time Volt line 1 Ji nil of NIOSil Nt uni It:f I jH'Hiiofi iuui AtJiviiy Ty|x; Number Raic(l/nnl Rak^(i/in) Ratelhn! on Off (Minnies) (lilers) Deieciion 7400 3Sz-^ 4 P/A .AAL K K~ aAL (2 fo A P lA tSL jS AiLl fo-S6 30 CeO'jpb "bS-fip_______ 11 IHS IC a: Id

Calibraiion Mtuixxl; Signature: o H ^Chain of Ciislotiy KJ I NJ I—i Heieasod by; 4)^1 It-; Acccpicfl by, UjZ bale; !‘O /P't&ol S Signiitnre: Time: Signainre: Time; bo O Heiecised by: Date: ______________ Accepted by: 7 btiie; o I Si I II ire; Time; ______________ Signallire: Time; o co co Released by: Date: _____________ Accepierl by: Date: co o Signature: Time: ______________ Signainre: Time: NJ

NYC-WTC_000231451