z Z
KAM CONSULTANTS CHAIN OF CUSTOb. FOR ASBESTOS AtR MONITORING o
35-40 36lh Street co
1^^
Long Island City CLIENT: — SAMPLING DATE:
S
o
o
New York, liiOb
Te!;(T18)729.1997
PROJECT: ADDRESS: ■D
c
CT
o'
Fax:(718)729-1876 ■D
00 O
3.
co FIELD DATA LAB ANALYSIS 91
R W O
FLOW FLOW FIBERS FIBERS o
SAMPLE E O TIME TIME VOLUME CASSETTE o
TYPE LOCATION BEF, AFTER PER PER LAB ID# c
ID# S R IN OUT (liters) 25MM 37MM 3
(Ipm) (Ipni) FIELD CC CD
P K
!
Z- 7 TEST METHOD;
CZ.pcm'"' TEM
- 3^" /O /P 5.
.px^ycc rr J"-' ZP /Q TURN-AROUND TIME;
IMMEDIATE
12-HOUR
<>
24-HOUR
>
24-HOUR
OTHER;
lALYST:
DATE OF ANALYSIS;
TIME OF ANALYSIS:
o
H SAMPLE TYPE; A=BACKGROUND. B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG/I^IELD BLANK
S
Q
y^AIR QUALITY, M=COMPLIANCE MONITORING C
I—i TYPE OF RESPIRATORS: HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
o
o TYPE OF WORK 1= BLDG DECON, 2 = PUSTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG. 5 = CLEANING.
I 6 = ENCAPSULATION. 7 = BAGOUT. 8 = OTHER (SPECIFY):
o
TECHNICIAN: jl f
co ROTAMETER: - 6’ / ,P^ /
(^
I CHAIN RELiNcuiSHtU BY: COMMENTS; RECEIVED AT LAB By< U
(JI
(JI
. OF METHOD OF SHIPMENT: SAMPLE CONDITIOn\jPON RECEIPT:
USTOD^r DATEfTIME: DATFmMF- A- /
OCR can misread numbers and units. Confirm readings against the page image before using them.