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35-40 36th Street CD
Long Island City CLIENT:'be AS SAMPLING DATE: ^V'tS\ P 1
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NewYofk.11106
Tel: (118)729-1997
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CO FIELD DATA LAB ANALYSIS 91
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FLOW FLOW FIBERS FIBERS o
SAMPLE E O TIME TIME VOLUME ETTE c
TYPE LOCATION BEF. AFTER PER PER LAB ID# 3
ID# S R IN OUT (liters) IM 37MM CD
(tpm) (ipm) FIELD CC
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T“ TEST METHOD.
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12-HOUR
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24-HOUR
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OTHER:
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DATE OF ANALY^:
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TIME OF ANALYSIS, ^i: ;
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aH SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT. C=DURING ABATEMENT, D=POST-ABATEMENT </)
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I E=OUTSIDE WORK AREA, F=!NSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK
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o L= AIR QUALITY. M=COMPLIANCE MONITORING
o TYPE OF RESPIFIATORS: 1 = HALF FACE. 2 = PAPR, 3 - TYPE C. 4 = OTHER (SPECIFY):
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, 8 = OTHER (SPECIFY):
co TECHNICIAN: T ' Vl ZiMt ROTAMETER: PAGE J OF
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(JI 1 CHAINIrELINGUISHEDBY: T . COMMENTS: RECEIVED AT LAB BY:
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OF METHOD OF SHIPMENT: H} !> SAMPLE CONDITION UPON RECEIPT:
CUSTODV DATF/TIMF nnTFO-ir-iP-
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