z KAMl'JNbULIANIb CHAIN OF CUSTOD OR ASBESTOS AIR MONITORING Z
35-403611) SIreel
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i Long Island City
NswYofk,11106
CLIENT:
PROJECT:
SAMPLING DATE:
ADDRESS:
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Tel; 718 729-1997 “0
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o Fax: 718 729-1676 CT
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LAB ANALYSIS "0
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FLOW FLOW FIBERS FIBERS
SAMPLE E O TIME TIME VOLUME ISETTE O
TYPE LOCATION BEF. AFTER PER PER LAB ID# o
ID# S R IN OUT (liters) 25MM 37MM o
(Ipm) (Ipm) FIELD CC c
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TEST METHOD;
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Lr 277-f^ if _2££ <Ls '0> 2_
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12-HOUR
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E SAMPLE TYPE:
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A=BACKGROUND, B=PREABATEMENT. C=DURING ABATEMENT, D=POST-ABATEMENT >o
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E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G^MICROTRAP EXHAUST DISCHARGE 2
H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK LU
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T=)air quality, m=compliance monitoring
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TYPE OF respirators /= HALF FACE, 2 = PAPR, 3 = TYPE C. 4 = OTHER (SPECIFY):
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TYPE OI^WORK: 1= BLDG DECON, 2 = PLASTICIZING. 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING,
o 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
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O TECHNICIAN.24J PAGE / Ol
ROTAMETER; 6 - 1'f
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RELINGUISHED BY: /
CHAIN COMMENTS: RECEIVED AT LAO DY. OC?
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METHOD OF SHIPMENT: SAMPLE CONDI HON UPON RECEIPT:
M ;USTOD> DATErriME: DAHTriME:
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