NYC-WTC_000232474

NYC 9/11 Public Portal Document

TAYLOR ENVIRONMENTAL GROUP DAILY MONITORING SHEET AND CHAIN OF CUSTODY RECORD PAGE TEC CLIENT SITE ADDRESS ' I /*» DATE SUBMITTED Z Z

DATE SAMPLED CONTACT WORKAREA DATE LOCOED '

* Cxi.'C' PROJECT MANA^ ' ROTOMETER NO PROJECT NO. DATE APPROVED / SIGNATURE^^^

paM ~T SAMPLE & LABORATORY SAMPLE LOCATION, AREAS FLOW TIME TIME FLOW DURATION MINUTES (AVER­ LITERS FIELDS FIBERS F/MM2 F/CC PUMP# NO. HEIGHT AND/OR EMPLOYEE ON/OFF ON OFF AGE) IWA a OWA a IWA □ -l5 OWA a IWA □ OWA □ IWA a OWA a IWA a OWA □ IWA □ OWA □ IWA a OWA a IWA □ OWA □ IWA □ OWA a IWA a OWA □ IWA □ OWA a

o IWA n OWA □ K IWA □ I OWA □ s RELINQUISHED TO TEQ DROP BOX (SIGNATURE) TIME RECEIVED FROM TEO DROP DOX (SIGNATURE) DATE TIME [ CIRCLE I o DATE

o PCM TEM o I o RELINQUISHED W (SIGNATURE) RECEIVED Btl^SlONATURE) DATE TIME BGRO PRE DURING POST o to OSHA cn ANALYSE (SIGNATTJRq / TIME COMMENTS Z J ton to --- FILTER MANUFACTURER to WHITE; Olllce Copy YELLOW: Lab Copy PINK; Samples ORANGE: Site Copy

NYC-WTC_000232475