NYC 9/11 Public Portal Document
Ovre
’***-’'*^ , 9 0 I * T t S
ROJECT tNEORMATION
I wr,-
AIR MONITORING DATA
AND,
CHAIN OF CUSTODY FORM
,/;•, " ’r
□ 2 hrs
□ 4 hrs
Page
TURNAROUND TIME
□ 6 hrs □ 48 hr.s
□ 24 hrs □ 72 hrs
of
□ Standard
□ Other
, Client: ■......... 2, Project 3. Project # 4, Project Monitor; i J 4c. Rotameter Number;
r-y
2a; Project Address bo‘'WvOS<V\ W 3a. Task # J. 4a. Air sampler;
C-, O O oq->
Date: 6. Abatement Location:'' ' PC3 mScro^MCE) "T’ ~ P TEM 13.45 micron MCE) 9. Type; U- n Abatement I. □ Environmental
A cr.5TjuC- g.^ Ambient
?.( ' 01 svAc.e;:^ ' Cassetla/Rhet Manufsciure .^,1 _ ' * '^assetie/Filief Manuhetura a. □ Background d. □ Post-Abate
Lol* ■ - :i. J4{i£Lt.;===??=^^ b. □ Pre-Abate ■' e. □ OSMA h. □ Other
AILY AIR SAMPLE RECORD Y/iv'
).? 11, 12. Sanple Location 113/'Time (24 hrs clock) [14. Flow Rate (L/min,) 15. 16, 17.
Sample I.D. Pump 12bi 12c. Sample Coordinates t'^i'start 13b, End 13c, Total 14a. Start 14b, "End 14b. Total Air Vol. # Fibers/Fields Fiber Cone. F/CC
12a.
Number Number IWA OWA Avo (liters) Minus Blank
iillll
Field Blank
OL r
yji Field Blank BO ■i’, ■' ■
i ; 'Pot U.?o
4^
1. 32
o 12.
'n
no. i '3 Is
//
/nJ
■ r/t'
5i 1 ?. o )< '/In'"'
;>O^XT •YoiAer H
1'? O ‘/5 !$oo
OOfYcr 2QH" '__________ Pf
t*
■it*'!?!/
n -t
'HAIN OF CUSTODY LAB INFORMATION <ATC ELAP # 10879, ATC NVLAP # 1187)
1^ 8. Relintjuished By; 19. Received By: 20, Dale; 21, Time: 22, Lab Name: 23. Dale: ■24. Time; 25, Micjpsjope Make/S^tja^#:^.^,,
NJ (3 NikolCabophot 238913
a. Analyzed By: “7r3
S
n giF ' nA b. QC By. □ Nikon Labophot 238917
o i£ UI c. Lab Batch #: □ Nikon Labophol 239079
I
o
o
S !G. 'ATC Project Manager:
----- -- 28. CotWnents:
Analysis Methodology
o 27. Result To: ____ _
CD • m .'-s , 1 A kJ v'*./ 1 PCM -NIOSH. 74004-..
77^ t >i bjpo»3 Vovt uSZ TEM - AHERA
CD
NJ NY-1 (701)
NYC-WTC_000232325
OCR can misread numbers and units. Confirm readings against the page image before using them.