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PROJECT: ADDRESS: X/zfA
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FLOW FLOW FIBERS FIBERS
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SAMPLE TYPE. A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D -POST-ABATEMENT —)
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K E=OUTS1DE WORK AREA. F=INSIDE WORK AREA. G=MICROTRAP EXHAUST DISCHARGE
I H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER. J=OUTSIDE BLDG,.^;=TIELD BLANK
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o TYPE OF RESPIRATORS:
AIR QUALITY. M=COMPLIANCE MONITORING
HALF FACE. 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY).
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o T /PE Of* WORK: 1= BLDG DECON. 2 = PLASTICIZING. 3 = GROSS REMOVAL. 4 = GLOVEBAG. 5 = CLEANING.
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Io 6 = ENCAPSULATION. 7 = BAGOUT. 8 = OTHER (SPECIFY):
PAGE / OF
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TECHNIC1ANJ47A2zA^^^OTAMETER:
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CHAIN RELINGUISHED BY: COMMENTS: RECEIVED AT LAB BY:
OF METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT;
CUSTODY DATE/TIMF DATF/TIME: IA
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