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tong Island City CLIENTJ) SAMPLING DATE: C’J" — " 4^ / TZ-Zf"
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New York, 11106
Tel: (T18) 729-1997
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Fax:(718)729-1876 "0
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O) FIELD DATA LAB ANALYSIS 9L
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SAMPLE E O TIME TIME VOLUME CASSETTE c
TYPE LOCATION BEF. An ER PER PER LAB ID# 3
ID# S R IN OUT (liters) 25MM 37MM CD
(Ipm) (IpiTi) FIELD CC 3
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TEST METHOD:
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T? CIY€7^ a7€4J Ip Ifi / 2 CYP TEM
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TURN-AROUND TIME:
/IMMEDIATE
12-HOUR
2p<21 ^9
24-HOUR
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24-HOUR
/ 3-5
OTHER:
- ANALYST:
00
/ DATE OF ANALYSIS.
iZ TIME OF ANALYSIS:
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H SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
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E=OUTSIDE WORK AREA, F=INSiDE WORK AREA, G=MICROTRAP EXHAUSTJ3ISCHARGE
^DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG/SfiELD BLANK
S ^^AIR QUALITY, M=COMPLIANCE MONITORING
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o TYPE OF RESPIRATORS: HALF FACE, 2 = PAPR, 3= TYPE C, 4 = OTHER (SPECIFY): . j- 07 JjC in(l^
o TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5^ c£eANING,^ °
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o 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
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CHAIN RELINGUISHEDBY: V COMMENTS: RECEIVED AT LAB BY: ft
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OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT:
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