Air monitoring report header for Phase Contrast Microscopy analysis, undated

I Z z KAM CONSULTANTS -< o CHAIN OF CUSTOb . FOR ASBESTOS AIR MONITORING o 35- 40 36th Street CD

§ long Island City CLIENT:— SAMPLING DATE: - £>/ c o o NewYork.11106 Tel;(?18)729-199T PROJECT: ADDRESS: *7 “0 c CT o' Fax:(718)729-1876 / "0 03 o K3 FIELD DATA LAB ANALYSIS 9L R W O 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 (!pm) (Ipn) FIELD CC CD P K koio^wA 3

n 2^01 TEST METHOD: (o 1^' /^ 0 ( TEM Z IP {o fC^ 1 I <L 9 (o 7--7 I TURN-AROUND TIME:

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4 I A? io 4.of 6 24-HOUR

£ S' zir.cl OTHER:

■I't-Az/Z's A (2^ 3 (o Zf'-C / ANALYST:

J? 37 lo lO DATE OF ANALYSIS;

Zo 11’* /z2 i X? ‘’f ‘i/ f TIME OF ANALYSIS: // 2 lQ?f [1^2. ZvcV Zc-^ JL a 3 ’2 (/ H SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT. C=DURING ABATEMENT, D=POST-ABATEMENT 3 E=OUTSIDE WORKAREA, F=INSiDE WORKAREA, G=MICROTRAP EXHAUST DISCHARGE ^=DECONTAMINATION FACILITY, 1=CRITICAL BARRIER, J=OUTSIDE BLpfiTWlELD BLANK S o L^AIR QUALITY, M=COMPLIANCE MONITORING I—i TYPE OF RESPIRATORS: -1-^HALF FACE, 2 = PAPR, 3 = TT'PE C, 4 = OTHER (SPECIFY): o o TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL. 4 = GLOVEBAG. 5 = CLEANING, I 6 = ENCAPSULATION, 7 = BAGOUT. 8 = OTHER (SPECIFY); o PAGE / OF 22 CO TECHNICIAN: fif 4 T / ROTAMETER; Zyjr'i! - co CD CHAIN RELINQUISHED BY. 1 COMMENTS: RECEIVED AT LAB BY: fc/ . OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT: ZUSTOD'y DATEniME: nATFZTIMF-