z KAMGONSUIIANIS CHAIN OF CUSTODY FOR ASBESTOS AIR MONITORING z
o 35-40 36th Sheet -<
SAMPLING DATE: O^|Vi^ Q\ o
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Long Island City
NewYoik,11106
Tel: 718)729-1997
Fax; 718)729-0
CLIENT: bCAS
PROJECT: ADDRESS: 0 65 Hes YNkGlfeiVv
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FLOW FLOW FIBERS FIBERS 9L
SAMPLE E O TIME TIME VOLUME C/IS5ETTE D
TYPE LOCATION BEF. AFFER PER PER LAB ID# fSMM ; 37MM o
ID# S R IN OUT (liters) o
(Ipm) (Ipm) FIELD CC c
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TURN-AROUND TIME:
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IMMEDIATE
12-HOUR
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Ob a IX C..ci 6 24-HOUR
bl u SUAvMieli vsn <^C- U IX 7 24-HOUR
OTHER;
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I0 \1 ~T 195 •112 Ik 1x2 Rao DATE OF ANALYSIS:
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15 L n« K U co '3 TIME OF ANALYSIS:
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o SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D= POST-ABATEMENT
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H E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
H=DECONTAM1NATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK
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K> Ss
L= AIR QUALITY, M=COMPLIANCE MONITORING
s TYPE OF RESPIRATORS; 1 = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY): to*
Q XX hG
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o YPE OF WORK; 1= BLDG DECON, 2 = PLASTICIZING. 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING,
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I 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
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TECHNICIAN: ~ . ROTAMETER: ^AH- O'X. PAGE I OF X o tn
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CHAIN RELINQUISHED BY- -- COMMENTS; RECEIVED AT LAB BY:
o OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT:
iUSTOD\ DATEATIME DATEFTIME: /z I *
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