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CHAIN OF CUSTC ' FOR ASBESTOS AIR MONITORING z
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NewYork. 11106 PROJECT: ADDRESS: /// <n-S^
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TYPE LOCATION BEF. AFTER PER PER LAB ID# o
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H E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
K H=DECONTAM)NATION FACILITY, l=CRITICAL BARRIER, J=OUTS)DE BLDG.^lQlELD BLANK
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o TYPE OF RESPIRATORS: 1 = 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,
o 6 = ENCAPSULATION, 7 = BAGOUT, 6 = OTHER (SPECIFY):
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TECHNICIAN: f I PAGE j OF
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