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KAMCONSULTANIS CHAIN OF custody FOR ASBESTOS AIR MONITORING o
35-40 36lh Street
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New York, iiiiis
Tel: 118)729-1997
project'T ADDRESS: frtru- “0
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Fax: 718)729-1876 "0
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co FIELD DATA LAB ANALYSIS
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FLOW FLOW FIBERS FIBERS o
E O TIME TIME VOLUME o
SAMPLE CASSETTE c
TYPE LOCATION BEF. AFTER PER PER LAB ID# 3
ID# S R IN OUT (liters) 25MM 37MM o
(Ipm) (Ipm) FIELD CC
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TEST METHOD;
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TURN-AROUND TIME:
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12-HOUR
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24-HOUR
24-HOUR
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OTHER:
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30
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DATE OF ANALYSES: ri
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TIME OF ANALYSIS
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H SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
E=0UTSIDE WORK AREA, F=IN3IDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
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H=DECONTAMINATION FACILITY. I=CRITICAL BARRIER, J=OUTSIDE BLDG.rK^FlELD BLANK
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/tS)AIR QUALITY. M=COMPLIANCE MONITORING
'n = HALF FACE. 2 = PAPR. 3 = TYPE C. 4 = OTHER (SPECIFY).
I—i TYPE OF RESPIRATORS:
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o TYPE OF WORK: 1= BLDG DECON. 2 = PLASTICIZING, 3 = GROSS REMOVAL. 4 = GLOVEBAG, 5 = CLEANING,
I 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY);
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TECHNICIAN: ROTAMETER: c - c PAGE^
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CHAH'i 'RELINGUiSHtU BY; COMMENT^ RECEIVED AT LAB BY. pC_
CO OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT;
SUSTODMDATFrriME-
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