Air monitoring report header for Phase Contrast Microscopy analysis, undated

Z z KAM CONSULTANTS -< o CHAIN OF CUSTOD f FOR ASBESTOS AIR MONITORING o io 35-40 36th Stteet Long Island City CLIENT: SAMPLING DATE: Pes co

I o New York, 11106 PROJECT: ADDRESS: ■D c o CT o Tel: (718)729-1997 o' 00 Fax:(718)729-1876 ‘'£if TJ KJ O 3. 03 FIELD DATA LAB ANALYSIS R W o o FLOW FLOW FIBERS FIBERS o 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 (Ipm) (Ifm) FIELD CC CD <// rzp P K O

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z f O' IQ I'2 00 24-HOUR ~^'C' <?/ P Ty'_____________ I 24-HOUR lO 1'2 C1 sr-AY/^ ? OTHER: fO /ZPP 5^77 (O n.o <- o' c ; § ANALYST: E

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o (I 42 IQ IZ o‘ 9 H SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT K I E=OUTSIDE WORK AREA, F=lNSiDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE KJ

I O TYPE OF RESPIRATORS: ^^DECONTAMINATION FACILITY, 1=CRITICAL BARRIER, J=OUTSIDE BLDGZl^FlELD BLANK p p AIR QUALITY, M=COMPLIANC& MONITORING t^= HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY). o TYPE OF WORK 1= BLDG DECON. 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVFBAG, 5 = CLEANING, I o 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):

CO co TECHNICIAN: ^t/lQ/ACC . ^TTlEt/ ROTAMETER: '/ PAGE

Oi CHAIN RELINGUISHEDBY: T I COMMENTS: RECElt/ED AT LAB BY: OC'- - OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT: <=^6-4 3USTODMDATF/TIMF nATFrrp'r. ■>