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s KAM CONSULTANTS
35-40 36lh Street
CHAIN OF custody FOR ASBESTOS AIR MONITORING
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§ Long Island City CLIENT: SAMPLING DATE: <2 - X / //-< O
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NewYofk, 11106
Tel: (718)729-1997
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Fax:(718)729-1876 "0
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-IS- FIELD DATA LAB ANALYSIS 9L
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SAMPLE E o TIME TIME FLOW FLOW
BEF. AFTER
VOLUME
FIBERS FIBERS
PER PER LAB ID#
CASSETTE
c
3
TYPE LOCATION o
ID# S R IN OUT (liters) 25MM 37MM
(Ipm) (•pro) FIELD CC 3
P K
TEST METHOD:
IS L 0^ A/C ip [o evo) f
PCM TEM
IP
P.1 11
IZ.
IC
('L Ip
IP
IP M
e,.#! ILL.
TURN-AROUND TIME:'
IMMEDIATE^
12-HOUR
L ^12, IP Ip I2o^9 <^45
24-HOUR
24-HOUR
ip fR-
/i OTHER:
ip 1'2 4L»‘<'| A9
ANALYST: o
CX)
m
fp IZPP (‘I "O
EO
DATE OF ANALYSI^
■ /? IO [0 IZ Pp 6t Zf
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c TIME OF ANALYSISi>
[ 26- c-X> c It
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Q
IJ
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H SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT. C=DURING ABATEMENT, D=POST-ABATEMENT
2 LO
E=OUTSIDE WORK AREA, F=INSiDE WORKAREA, G=MICROTRAP EXHAUST DISCHARGE
H=DECONTAM!NATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE Bl DG/OielD BLANK
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TYPE OF RESPIRATORS:
L= AIR QUALITY, M=COMPLIANCE MONITORING
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,
I 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
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ROTAMETER; fi PAGE OF <2-
- TECHNICIAN:
---------------- ----------------- - -----------1-------------------------- - ------
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1 CHAIN RELINGUISHED BY: COMMENTS; RECEIVED AT LAB BY: f./l.
S ■ OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT: 2"*"^
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