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o KAM CONSULTANTS CHAIN OF CUSTODY FOR ASBESTOS AIR MONITORING o
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35-40 36lh Street
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Long Island City CLIENT:^ SAMPLING DATE; ■D
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New York, 11105 PROJECT: ADDRESS: c
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Fax:(718)729-1876
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CT) FIELD DATA LAB ANALYSIS
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SAMPLE E o TIME TIME
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VOLUME
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TYPE LOCATION LAB ID#
ID# S R IN OUT (liters) 2 EMM 37MM Q
(Ipm) (Ipm) FIELD CC 3
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TURN-AROUND TIME:
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24-HOUR
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OTHER:
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Co l2oo a 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
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H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG7 K=FIPLD BLANK
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AIR QUALITY, M=COMPLIANCE MONITORING <-----
/ 1 = HALF FACE, 2 = PAPR, 3 = TYPE C. 4 = OTHER (SPECIFY):
TYPE OF RESPIRATORS:
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o TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING,
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o 6 = ENCAPSULATION. 7 = BAGOUT. 0 = OTHER (SPECIFY):
TECHNICIAN:
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CO ROTAMETER:
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! CHAIN RELINGUISHED BY:
¥ COMMENTS: RECEIVED AT LAB BY: }. ______
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OF METHOD OF SHIPMENT: SAMPLE CONDITIONjUPOI); RECEIPT:
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CUSTOD'rlDATPrriMF
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