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KOCH ENVIRONMENTAL HEALTH, INC. <br />PO Box 253, Morrison, Colorado 80465 <br />Phone: (303)9324484 <br />DAILY AIR CONTAMINANT SAMPLING FORM <br />a DATE: <br />of l'i(f <br />CLIENT: 1.0(,t r <br />PROJECT # O3o 02 - 16E. <br />PROJECT CONTACT: <br />1 f..+r,('.k f . (F <br />PROJECT LOCATION: <br />CIo.,„ A %~t <br />WORK AREA.� <br />(Awe How. -3:, <br />SAMPLE TyPPE/ <br />Asbestos (NIOSH 7400) <br />Lead 0 (NIOSH 7082) <br />Other <br />PUMP CALIBRATION' <br />Roieter O <br />ID VCL S' <br />FILTIA TYPE: <br />VU.B um 25 mm MCE <br />_ charcoal tubes <br />Silica Gel <br />_ <br />Other <br />Lot # <br />SAMPLING REP: T 14 <br />A ` <br />L ANALYSIS BY: 61,j, fli <br />»' FFF"' <br />Size XS M"" <br />Pore Size O.8 � <br />Other <br />Method: <br />SAMPLE <br />NUMBER! <br />PUMP <br />NUMBER <br />SAMPLE <br />TYPE <br />SAMPLE DESCRIPTION/LOCATION <br />ACTIVITY <br />TIME <br />(24 HOUR CLOCK)_ <br />Start Stop, <br />FLOW RATE (LIM-INi <br />Start Stop <br />AIR VOLUME <br />(Literal, <br />RESULTS <br />(ua/M31 <br />Total <br />AY& <br />Field <br />Blank <br />Field <br />Blank <br />Wit <br />b - 01 <br />a_ <br />W cO"-' -' of W,A <br />, <br />too oo <br />j+s'o <br />Zzo <br />6.0 <br />4.0 <br />g•O <br />13Zo <br />S !L Ca,rree 6 f w • 4 <br />_ <br />AV 6314.9 <br />�t`t-03 <br />14.) (,,." w e t � .4- <br />_ <br />u:to <br />Ns! <br />221 <br />1►; <br />8,1 <br />r►� <br />ts,iL <br />WI- 4 <br />— <br />I I : (u <br />NCI' <br />22S <br />5, 3 <br />5".5- <br />5.4# <br />1215 <br />Avgi/ <br />pAV'- 8'S <br />("k of W.4 <br />— <br />11:10 <br />miZ <br />2cZ <br />6, <br />• 1 <br />35 <br />13514 <br />I <br />Sample P = Personal BAK = Background Activity PREP = Work Area <br />Type: Ex = Excursion A = Ambient Air Preparation <br />IWA = Inside Work Area HEX = HEPA Exhaust REM - Removal <br />OWA = Outside Work CL = Clearance Sample GB - Glovebag <br />Area FC - Final Cleaning <br />BO = Bagout <br />TD=Tear <br />Down <br />PP - Paint Prep <br />8 -hour Time -We ghted Averages (TWAs): <br />