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KAMC0N8ULTAN1S CHAIN OF CUSTOb . FOR ASBESTOS AIR MONITORING
o 35-40 36lh Street o
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g Long isiand City CLIENT;,J^27y?d SAMPLING DATE: J/ 3 - oy .Zv^
o New Yoik, 11106 PROJECT: ADDRESS;
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Tel: 1718)729-1997 CT
Fax:(718)729-1876 o'
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co FIELD DATA LAB ANALYSIS
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R W O
FLOW FLOW FIBERS FIBERS o
SAMPLE E 0 TIME TIME VOLUME CASSETTE o
TYPE LOCATION BEF. AFTER PER PER LAB ID# c
ID# S R IN CUT (liters) 25MM 37MM 3
/,5 7-^ P K
(Ipm) (Ipm) FIELD CC o
3
TEST METHOD;
/£) I
6
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Ar6 YT^770^
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r /P /P /2CjO C-. o| 1 PCM,> TEM
TURN-AROUND TIME:
2 ' .J.2 ---------- - 3
IMMEDIATE
^// ------
12-HOUR
24-HOUR
24-HOUR
OTHER:
2
ANALYST:
DATE OF ANALYSIS;
T S’ --O')
J Tx
TIME OF ANALYSIS;
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H SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
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I E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE -/Hi
H=DECONT AMI NATION FACILITY, t=CRITICAL BARRIER, J=OUTSIDE BLDG/K=FIELD BLANK O, ix to
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TYPE OF RESPIRATORS:
AIR QUALITY, M=COMPLIANCE MONITORING
fl = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
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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, B = OTHER (SPECIFY):
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PAGE / OF /
TECHNICIAN: ROTAMETER:
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CHAIN RELINGUiSHED OY: COMMENTS: RECEIVED AT LAB BY: n r>
g , OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT:
;USTOD> DATE/TIME DATF/TIMP- ■’ * '
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