N.Y. FORM 107 ; (9-10-51) . . : (. 7 «a a - * —_ Pam ah DATA SHEET STATION CITY STATE TAKEN BY Start Sample - Date Hour Time Zone End Sample Hour Time Zone - Date Velocity Wind Direction Weather Conditions LC! Precipitation EStimated Vuluine Collected pints Estimated Rainfall Duration, inches from to (“J Settled Dust on Tray [] Settled Dust on Gummed Paper (7) Airborne Dust Sampling Rate, finish start ft°/min, General Remarks Counting Data: Time of Counting - Date Hour Total Count Time Zone Counting Period Gross Rate c/m Background c/m Net Rate c/m Results d/m/sample min, Efficiency Factor c/d d/m (unit) Final Extrapolated Value Extrapolated to - Date Time Zone (Use separate sheet for each sample) 7) pom ARCHIVES % rn aco