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35-40 36lh Street co
Long Island City CLIENT; SAMPLING DATE: / 77^4
Fo NewYorii.1«W PROJECT: ADDRESS: “0
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FIELD DATA LAB ANALYSIS 9L
R w FLOW FLOW FIBERS FIBERS
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o
E O TIME TIME VOLUME CASSETTE o
SAMPLE c
TYPE LOCATION
S R IN OUT
BEF. AFTER
(liters)
PER PER LAB ID#
25MM 37MM 3
ID#
(Ipm) (Ipm) FIELD CC CD
/Q P K
2?? 7 3
I 4 'TOb X -STe-;;— 10 to / EST METHOD;
4 Id? '7 - TEM
n^' (O (o |2iF7 O 3 TURN-AROUND TIME:
^TV'/r' IQ (o dO't (
IMMEDIATE
12-HOUR
24-HOUR
L I2L IP {220 5
'2 24-HOUR
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6 27^//£7<J. C-
Lt It io 12-^ 7 -I 7
OTHER.
Sr22ZSo> D ANALYST:
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V 2^20 c>fU
L 2212'
11 2i I IP I 2^^,7 fc \
DATE OF ANALYSIS orrj
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TIME OF ANALYSIS: Z ni
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________________ C/J
----------
H SAMPLE TYPE: A=BACKGROUND. B=PREABATEMENT, C=DURING ABATEMENT. D=POST-ABATEMENT
I E=OUTSIDE WORK AREA, F=INSIDE WORKAREA, G=MICROTRAP EXHAUST DISCHARGE
H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BLDG/K^IELD BLANK
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T:^AIR QUALITY, M=COMPLIANCE MONITORING '
TYPE OF RESPIRATORS: -T= HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
o
o TYPE OF WORK; 1= BLDG DECON, 2 = PLASTICIZING. 3 = GROSS REMOVAL. 4 = GLOVEBAG, 5 = CLEANING,
Io 6 = ENCAPSULATION, 7 = BAGOUT, 8 = OTHER (SPECIFY):
M TECHNICIAN: rj44 02© i-tv ROTAMETER: PAGE
f CHAIN RELINGUISHEDBY: COMMENTS: RECEIVED AT LAB BY: (_
S 7 OP METHOD OF SHIPMENT: SAMPLE CONDITION UPON RECEIPT:
CUSTODV DATP'TIME nATFrr»4P- 227
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