Ecotech HiVol 3000

High Volume Air Sampler Filter Papers Custody Record
Lab:
Sent (date):_______________________ Time: (24 hour):___________________________
By (name):_______________________ Signature (of sender):_______________________
Filter ID’s:
Field Technician:
Company (name): ___________________________________________Project
Name:___________________________________________________________
Location: ____________________________________________________ Received (date):____________________ Time: (24 hour):__________________
By (name):____________________________ Signature (of receiver):______________________________________________________________________
Filter
ID
Condition Filter Run
Date
Change Date Initial
Run
Time
+
Final
Run
Time
+
Initial
Flow
[Nm
3
]*
Final
Flow
[Nm
3
]
*
Total
Volume
[Nm
3
]
(Only HV-3000)
Corrected
Volume
[Nm
3
]
(Only HV-3000)
Changed
by
Signature
Lab:
Received (date):_______________________ Time: (24 hour):_________________________________
By (name):___________________________ Signature (of Receiver):___________________________
Filter ID Condition
(good/damaged)
Observations