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o KAM CONSULTANTS CHAIN OF CUSTODi FOR ASBESTOS AIR MONITORING o
35-40 36th Street co
Long Island City CLIENT; SAMPLING DATE: D^\'Ua( Ti |
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o NewYorMllOB PROJECT: ADDRESS: c
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o Tel: (718)729-1997
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Fax:(718)729-1876 "□
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cn FIELD DATA LAB ANALYSIS 9L
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FLOW FLOW FIBERS FIBERS o
SAMPLE E O TIME TIME VOLUME CASSETTE c
TYPE LOCATION
S R IN OUT
BEF. AFTER
(liters)
PER PER LAB ID# (25^^ 37MM 3
ID#
HA^dcS (SVp>ai (Ipm) (Ipm) FIELD cc Q
3
P K 7'2-74
OI t 14'^ IS^ 1® P I
TEST METHOD;
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L
b'NFW u>eV\ C^ A______
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SI 'Ci
TURI
TEM
IND TIME:
I O I 0 Uro
IMMEDIATE
vLgT>*cv a?® 1 \ d <■
M
12-HOUR
6S IC <>■
24-HOUR
oC ? )
24-HOUR
OTHER:
ANALYST:
DATE OF ANALYSIS:
TIME OF ANALYSIS:
3c
o Co □:
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H SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT, C=DURING ABATEMENT. D=POST-ABATEMENT oFq
K
I E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE T’O
H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG., K=FIELD BLANK oofn
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L= AIR QUALITY, M=COMPLIANCE MONITORING r- '<
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TYPE OF RESPIRATORS; 1 = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY): Ox
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I
o TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING, -•e
o 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY): -r
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TECHNICIAN: HaT \ ROTAMETER: PAGE I OF I
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CHAIN RELINGUISHED BY: tt ‘V ’ COMMENTS: RECEIVED AT LAB BY:
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OF METHOD OF SHIPMENT; SAMPLE CONDITION UPON RECEIPT:
CUSTODY DATE/TIME- DATF/TIMF-
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