NYC-WTC_000232622

NYC 9/11 Public Portal Document DAILY MONITORINdBlEET AND CHAIN OF CUSTODY RECORD*^^ TAYLOR IRONMENTAL GROUP TSCHNCIAN CLIENT SITE ADDRESS DATE SUBMITTED

DATE SAMPLED CONTACT WORKAREA DATE LOGGED

ROTOMETERNO. 4^^ , PROJECT NO. , PROJECT MANAGER DATE APPROVED / SIGNATURE

SAMPLE & LABORATORY SAMPLE LOCATION/areas FLOW TIME TIME DURATION FLOW PUMP# NO. HEIGHT AND/OR EMPLOYEE ON/OFF ON OFF MINUTES (AVER­ LITERS FIELDS FIBERS F/MM2 F/CC AGE) IWA □ ;

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X5 IWA a OWA □ IWA a OWA □ IWA □ OWA □ IWA □ OWA □ IWA n OWA □ IWA □ OWA □ IWA □ OWA □ IWA □ OWA □ IWA □ Q OWA □ IWA □ K I OWA □ REUNGUtSHB) TO TEQ DROP DOX (SIGNATURE) DATE TIME RECEIVED FROM TEO DROP BOX (SIGNATURE) DATE TIME CIRCLE I

PCM TEM o o RELINQUISHED BY: (SIGNATURE) TTME I DATE TIME RECEIVED BY: (SIGNATURE) BGRD PRE DURING POST o O vz 7 ' OSHA ANALYST: (SIGN/ FURE) . DATE TIME: COMMENTS CO LOT#

CT FILTER MANUFACTURER O WHITE: Office Copy YELLOW: Lab Copy PINK: Samples ORANGE: Site Copy

NYC-WTC_000232623