Z KAMlUNbULIANIb CHAIN OF CUSTQD OR ASBESTOS AIR MONITORING z
35-40 36lh Street o
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Long Island City
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CLIENT:
PROJECT:
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ADDRESS: CT7S
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o Tel: 718)729-1997 ■D
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o Fax: 718)729-1876 CT
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FIELD DATA LAB ANALYSIS
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FLOW FLOW . FIBERS FIBERS
SAMPLE E O TIME TIME VOLUME iSETTE O
TYPE LOCATION BEF. AFTER PER PER LAB ID# 1 37MM o
IO# S R IN OUT (liters) o
(Ipm) (Ipm) FIELD CC c
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TEST METHOD
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TURN-AROUND TIME;
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OTHER:
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ANALYST:
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DATE OF ANALYSIS; §
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TIME OF ANALYSIS: •<>
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Q SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT LV -H
E=OUTSIDE WORK AREA, F-INSIDE WORK AREA, G=MICROTFAP EXHAUST DISCHARGE <Z)
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K HrDECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK
I /=*^AIR QUALITY, M^COMPLIANCE MONITORING
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TYPE OF RESPIRATORS: = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
TYPE or* WORK: 1= BLDG DECON, 2 = PLASTICIZING. 3 = GROSS REMOVAL, 4 = GLOVEDAG, 5 = CLEANING,
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o 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
I TECHHICIAH:.3g.yZ'g/j/^i^ / f. !seOlZ^ PAGE^ OF 2
o ROTAMETER: Z ( - zZ V
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to CHAIN RELINQUISHED BY COMMENTS: RECEIVED AT LAB DY: OC-
tn OF METHOD OF SHIPMENT; S.AMPLE CONDI (ION UPON RECEIPT. H
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