i' fi''
Z KAMC0NSULTANI3 z
o CHAIN OF CUSTOi FOR ASBESTOS AIR MONITORING
35-40 36th Street o
io Long Island City CLIENT SAMPLING DATE: PP '' 2 J" -
UaHsi
_k
I
New York, 11106 PROJECT: ADDRESS: ■0
o Tel: (718)729-1997 c
o CT
o
Fax: (718)729-1^76 o'
00 "0
KJ o
FIELD DATA LAB ANALYSIS a.
KJ 9L
R W
FLOW FLOW FIBERS FIBERS O
SAMPLE E O TIME TIME VOLUME CASSETTE o
TYPE LOCATION BEF. AFTER PER PER IJ\B ID# o
ID# S R IN OUT (liters) 25MM 37MM c
(Ipm) (Ipm) FIELD CC 3
P K CD
3
Pi ^PPr/7^ ■ TE§t METHOD:
/3 (Z /(? Cp'o( i)
CCjEmJ'" tem
/ZPr: J 11
TURN-AROUND TIME:
" IMMEDIATI
12-HOUR
/£ 5£ 12^ ‘‘ /f S &■ -t I iS
L7 PPlpiTlC 24-HOUR
P (o
CP /fez
CP CPp
P-cl mL
24-HOUR
/7
SP WcZi2P> S ppPr- ((Z OTHER:
/g £>-ci
P Pp <2- 2d ANALYST:
DATE OF ANALYSIS:
42 PfPL 6»’O f
c. c-E:^r/2j^. Jm fo (P:>^ ^>^0- o/'
p
L. rp Z.D Z? ( 12
o
7^ /z2 c o CZ t’c /^c-1
SAMPLE TYPE: A=BACKGROUND. B= PREABATEMENT, C=DURING ABATEME\-T, D=POST-ABATEMENT
H
E=OUTSIDE WORK AREA, F=INS!DE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
D=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG^^^^IELD BLANK
ho
T^AIR QUALITY, M=COMPLIANCE MONITORING
s
O TYPE OF RESPIRATORS: 1 = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY);
M
O TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING,
o
I 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY);
o
TECHNICIAN: ROTAMETER: PAG&;''<OF
CO
co
CHAIN RELINGUISHED BY;' COMMENTS: RECEIVED AT LAB BY: PL
(JI
OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT: p-7'try
3USTOD'i DATEFTIME: DATE/TIME; PpP "
J
OCR can misread numbers and units. Confirm readings against the page image before using them.