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KAM CONSULTANTS CHAIN OF CUSTObt FOR ASBESTOS AIR MONITORING o
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Long Island City CLIENT: SAMPLING DATE:
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UbUSl NewYork.11106
Tel: (718)729-1997
Fax:(718)729-1876
FIELD DATA
PROJECT: ADDRESS:
[ LAB ANALYSIS
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SAMPLE E O TIME TIME VOLUME CASSETTE c
TYPE LOCATION BEF. AFTER PER PER LAB ID# 3
ID# S R IN OUT (liters) 25MM 37MM CD
(Ipm) (Ipm) FIELD CC 3
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1 £ la <49'61 1 TEST METHOD:
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TURN-AROUND TIME:
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24-HOUR
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TIME OF ANALYSIS:
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A SAMPLE TYPE: A=BACKGROUNO, B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
A
I E=OUTSIDE WORK AREA, F=IN£ IDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
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H=DECONTAMINATION FACILIIY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK
I TYPE OF RESPIRATORS:
L= AIR QUALITY, M=COMPLIANCE MONITORING
1 = HALF FACE, 2 = PAPR, 3 = TrPE C, 4 = OTHER (SPECIFY):
TYPE OF WORK: 1= BLDG DECON. 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING,
6 = ENCAPSULATION. 7 = BAGCUT, 8 = OTHER (SPECIFY):
g TECHNICIAN:
ROTAMETER; V I OF
PAGE /
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3^ i CHAIN RELINGUISHED BY: COMMENTS: RECEIVED AT LAB BY: X.
■ OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT:
3USTOD> DATF/TIME- n.ATpmMr- ''
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