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KAM CONSULTANTS CHAIN OF CUSTODi FOR ASBESTOS AIR MONITORING o
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35-40 36lh Street CD
Long Isiand City CLIENT: C/H SAMPLING DATE: "-2 7 <2/
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NewYorMWS PROJECT:
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o Tel: (718)729-1997 CT
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Fax:(718)729.1876 "0
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FIELD DATA I LAB ANALYSIS ] 9L
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FLOW FLOW FIBERS FIBERS o
E O TIME TIME VOLUME o
SAMPLE CASSETTE c
TYPE LOCATION BEF. AFTER PER PER LAB ID# 3
ID# S R IN OUT (liters) 25MM 37MM
(ipm) (ip") FIELD CC CD
P K 3
/3 A-/Pl A' 7 & /O
11
TEST METHOD;
TURN-AROUND TIME:
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IMMEDIATE
4 /lO 1^000 I C i IT
ic 12c'c 12-HOUR
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24-HOUR
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4 ^'^6 Ac X/Z)
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24-HOUR
OTHER:
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DATE OF ANALYSIS?! "IC
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74 /2 r A C z- f ( .3 - 2S
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SAMPLE TYPE. UJ
H A=BACKGROUND. B=PREABATEMENT. C=DURING ABATEMENT. D=POST-ABATEMENT to
A ISO
E=OUTSIDE WORK AREA. F= INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
J4=DECONTAMINATION FACILITY, ^CRITICAL BARRIER, J=OUTSIDE BLDGcOlELD BLANK
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<y AIR QUALITY. M=COMPLIANCE MONITORING
TYPE OF RESPIRATORS: ' T = HALF FACE. 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
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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):
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CHAIN RELINGUISHED BY: T RECEIVED AT LAB BY:
cr^ COMMENTS;
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o OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT:
CUSTODY DATFrriMF I' lA TpzriMf
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