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z CHAIN OF CUSTQP- -OR ASBESTOS AIR MONITORING -<
35-40 36lli Streel o
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g New York, 11106 PROJECT: ADDRESS:
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FIELD DATA II LAB ANALYSIS o
KJ
KJ R W 9L
Oi FLOW FLOW FIBERS FIBERS O
SAMPLE E O TIME TIME VOLUME CASSETTE o
TYPE LOCATION BEF. AFTER PER PER LAB ID# o
ID# S R IN OUT (liters) 25MM 37MM c
(Ipm) (Ipm) FIELD CC
■72 y-TI P K /4oift>o I W( 3
CD
3
L 1
EST METHOD:
2- 4 a oPP/c^
L 332 3'^ //O Ip
p <: <■ • V \ 2 PCM ) TEM
S /
la Io -Bl 3 TURN-AROUND TIME:
^’^^ISAmediate^^^
£ 4 1 ' 2^3¥ /p t 2^r> 4^4 te*ol
12-HOUR
^77L^^ ■t
/P 7^ /2 Pt? zL,.d
24-HOUR
24-HOUR
4 IP I 2 Op
/P Z74 OTHER;
4 IP (<:> c. -o \ ANALYST:
IP (P (70p 0-1
id’ DATE OF ANALYSIS;
X T73 /=-Ooo/^
f i? - 1 I
Lp (P (T IT ■Op V
//
■_________ ..iTT? -'3 (P 1^ Op T TIME OF ANALYSIS:
12. I 17 Op e •o\
Q SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT. C=DURING ABATEMENT. D=POST-ABATEMENT CXJ
H E=OUTSIDE WORKAREA. F=INSIDE WORKAREA. G=MICROTRAP EXHAUST DISCHARGE s >
K H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG<K?F|ELD BLANK C3 3
I ^^^AIR QUALITY. M=COMPLIANCE MONITORING "C / e:>
s
Q
TYPE OF RESPIRATORS:
TYPE or* WORK;
' HALF FACE. 2 = PAPR. 3 = TYPE C. 4 = OTHER (SPECIFY) »
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I—i 1= BLDG DECON. 2 = PLASTICIZING. 3 = GROSS REMOVAL. 4 = GLOVEBAG, 5 = CLEANING,
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o 6 = ENCAPSULATION, 7 = BAGOUT. 8 = OTHER (SPECIFY): ~c»
1 PAGE / OFe^
o ROTAMETER: ~ P
on z
S CHAIN RELINGUISHED si; —i
COMMENTS; l<ECijVEUAI LAB BY: Q fS (Z>
w OF METHOD OF SHIPMENT: SAMPLE CONDI HON UPON RECEIPT: ^Tj 'I
CO
o JSTOD> OATE/TtME- DAIE/TIME: ( o \
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