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FIELD DATA ][ LAB ANALYSIS p.
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O FLOW FLOW FIBERS FIBERS O
SAMPLE E O TIME TIME VOLUME CASSETTE o
TYPE BEF. AFTER PER PER LAB ID# o
ID# S R IN OUT (liters) 25MM 37MM c
(Ipm) (Ipffl) FIELD CC 3
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TEST METHOD:
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ANALYST:
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o SAMPLE TYPE: A=BACKGROUND, B=PFcEABATEMENT, C=DURING ABATEMENT, D-POS T-ABATE WENT co □:
H E=OUTSIDE WORKAREA, F=INSIDE WORK AREA, G=MICROTRAP EXHAUST DiSCHARGE
H^DECONTAMINATION FACILITY, l=CRITICAL BARRIERfJjOUTSIDE BLDg44fIELD BLANK o<n
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TYPE OF RESPIRATORS:
TYPE 01^ WORK:
1 = HALF FACE. 2 = PAPR, 3 = TY:^E C. 4 = OTHER (SPECIFY):
1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL. 4 = GLOVEBAG, 5 = CLEANING. -qm
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o 6 = ENCAPSULATION. 7 = DAGOLT. 8 = OTHER (SPECIFY): ;5
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TECHNICIAN: //C/7A/C ROTAMETER: PAGE / OF O (A
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(-O CHAIN RELINQUISHED SY: COMMENTS: RECEIVED AT LAB BY: 05
OF METHOD OF SHIPMENT: ;'.AMPLE CONDI LION UPON RECEIPT:
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■ CUSTODY DATE/TIME: PAITHTME' g'lC t)
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