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KAM CONSULTANTS CHAIN OF CUSTOD . FOR ASBESTOS AIR MONITORING o
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35-4036thStreet
Long Island City CLIENT: -23 <2^4^ SAMPLING DATE: -2 7
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New York. 11106 PROJECT: ADDRESS: / 2 F /zPF z’/Z “0
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o Tel: (718)720-1997 CT
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Fax; (718)729-1876 "0
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KJ FIELD DATA LAB ANALYSIS 9L
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FLOW FLOW FIBERS FIBERS o
SAMPLE E O TIME TIME VOLUME CASSETTE o
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TYPE LOCATION PER PER LAB ID#
ID# S R IN OUT (liters) 25MM 37MM 3
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ANALYST:
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zr d SAMPLE TYPE: A=BACKGROUND, B=PREABATEMENT, C=DURING ABATEMENT, D=POST-ABATEMENT
E=OUTSIDE WORK AREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DISCHARGE
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H=DECONTAMINATION FACILITY, l=CRITICAL BARRIER, J=OUTSIDE BL[X5-KRflELD BLANK
AIR QUALITY. M=COMPLIANCE MONITORING —
VprEE OF RESPIRATORS: 1 = HALF FACE, 2 = PAPR, 3 = TYPE C, 4 = OTHER (SPECIFY):
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o TYPE OF WORK: 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL, 4 = GLOVEBAG, 5 = CLEANING.
I 6 = ENCAPSULATION, 7 = BAGOUT. 8 = OTHER (SPECIFY):
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TECHNICIAN; / C/V, tC ROTAMETER: " d */
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O', CHAIN RELINQUISHED BY: COMMENTS; RECEIVFfDAT LAB BY / //
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. OF METHOD OF SHIR ’.ENT: SAMPLE CONDITION UPON RECEIPT: ^[0-^
pUSTOD'ij DATE/TIME
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