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06/16/1994 10:12:11 Page: 10
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CTD021896
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06/16/1994 10:12:11 Page: 11
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CTD021897
RI KOI
Cg^jS^gdM ASBESTOS HIOHUDBIHG DATA SHEET M0'
PLANT
EMPLOYEE NAME
7a\yloW]&
PUMP MANUFACTURER
III
4l5A
PAYROLL NUMBER JOB TITLE
/-
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4-4S-Z
PLANT DATE OF TES r
/ 3-/ 2-O ?YY
CODE
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FLOW RATE (Ipm)
_________ !___
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START
ACTIVITY DURING SAMPLING PERIOD
CODE
Y 7lec\ S S/A>APr^ -0 y/,/S(LSLUA aJKqUJ
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DID EMPLOYEE WEAR RESPIRATOR?
yes 0NO SOMETIMES
RESPIRATOR TYPE & MODEL
REMARKS
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CODE
EXHAUST CONTI HOLSYSTEMS
jL
I~1 functionAg^iORMALLY
|--| NOT FUNCTIONING |___ | NORMALLY
REMARKS
WEATHER CONDITIONS
OUTSIDE TEMPERATURE F
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BLANK FIBER COUNT FIBERS IN
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KJ i
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CTD021899
/
PLANT
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Aa 1 - ? 'lyf &
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START
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ASBESTOS WONITORIHG DATASHEET M0^3*a ^
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PLANT DATE OF TES T
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DID EMPLOYEE WEAR RESPIRATOR?
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REMARKS
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1
CODE
EXHAUST CONTROL SYSTEMS
[^FUNCTIONING NORMALLY
NOT FUNCTIONING
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PLANT DATE OF TEST
X6 0 / o 7 >5?
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_____________________________________________________________________________________________________________________________________________
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MICROSCOPE MAKE & MODEL
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,
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855
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CODE
EXHAUST CONTROL SYSTEMS
r--./ IMtuNCTIONING NORMALLY
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OUTSIDE TEMPERATURE F
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9
w\SUNNY j
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MICROSCOPE MAKE & MODEL
///
3 - L-
FIELD AREA
CONSTANT
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MICROSCOPE MAKE & MODEL
f/f 2-L
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PLANT DATE OF TES T
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BLANK FIBER COUNT FIBERS IN
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BLANK
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P " /&, /2,'` SttKJZ-A-'
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EXHAUST CONTROL SYSTEMS
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OUTSIDE TBVIPERATURE F
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BLANK FIBER COUNT FIBERS IN
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MICROSCOPE MAKE & MODEL
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TOTAL
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/ot ri, JUtA. .
CODE
EXH/VUST CONTROL SYSTEMS
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REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
SUNNY p^j^CLOUDY | | HUMID
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S(ty\
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o
7
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BLANK FIBER COUNT FIBERS IN
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MICROSCOPE MAKE & MODEL
f/f B/U
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CONSTANT
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856
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SAMPLE NUMBER
PIS'
______ !
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BLANK
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VOLUME (1)
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TIME WEIGHTED AVERAGE totalj7tr min, _
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& % mx, 9\
CTD021913
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PLANT DATE OF TEST
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200
REMARKS
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o /VA
EXHAJJST CONTROLSYSTEMS
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REMARKS
CODE
WEATHER CONDITIONS OUTSIDE TBVIPERATURE F
_____________ ________________________________________________________________ c
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CONSTANT
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SAMPLE NUMBER
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BLANK
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0
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REMARKS
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WIND VELOCITY
CODE
SUNNY
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BLANK FIBER COUNT FIBERS in
FIELDS _
///
MICROSCOPE MAKE & MODEL FIELD AREA
____________ PUn-~*1--______________________ .0 0 (at mm2
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CODE
EXHAUST CONTROL SYSTEMS
1 ^FUNCTIONING NORMALLY
1--1 NOT FUNCTIONING 1 1 NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
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WIND VELOCITY
SUNNY p^CLOUDY | | HUMID Q
PARTLY CLOUDY|
fog
shqwersQ
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BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL ///
FIELD AREA
CONSTANT
K
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855
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SAMPLE NUMBER
02 v
$
_____ i___
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PLANT DATE OF TES T f/|s(5
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DID EMPLOYEE^tfEAR RESPIRATOR?
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code
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REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
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lo WIND DIRECTION
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QJ
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BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL
fjf
FIELD AREA mm2
CONSTANT
K-
855
SAMPLE NUMBER
TOTAL
FIELDS FIBERS PER CORRECT BY
FIBERS "^COUNTED = FIELD SUBTRACTING
TOTAL SAMPLE
CORRECTED fjf* VOLUME Kffee
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SAMPLE flcCx MIN.
BLANK
VOLUME <0
TIME (MIN)
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CTD021917
fiO.fe'U*-03*
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PLANT
EMPLOYEE NAME
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payroll Number job title
PLANT DATE OF TEST
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CODE
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PUMP MANUFACTURER
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SERIAL NUMBER
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SAMPLE NUMBER
START
2
73
ACTIVITY DURING SAMPLING PERIOD
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CODE
/ aZo X/v*/c/-t
DID EMPLOYER WEAR RESPIRATOR? RESPIRATOR TYPE & MODEL
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MANUFACTURING INFORMATION (Size - Type of pipe - Downtime - Etc.)
CODE
EXHAUST CONTROL SYSTEMS
rr-yS
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REMARKS
OUTSIDE TEMPERATURE 0 F
? WIND DIRECTION (// ^WIND VELOCITY
,/
-------------- 1--1 CLOUDY 1 1
------------- L_J-----------------
l_l
FOG 1 | SHOWERS] |
C SNOW | |;
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MODEL
fjf 3--
FIELD AREA
CONSTANT
K
/ mm2
"
856
- Jt/d
SAMPLE NUMBER
TOTAL
FIELDS FI8ERS PER CORRECT BY
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BLANK
VOLUME <l)
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Liters
70
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S^3TOTALS
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TIME WEIGHTEO AVERAGE
totauAymn. _
TOTAL MIN.
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flee | 0 s>
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PLANT DATE OF TEST
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2e
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ACTIVITY DURING SAMPLING PERIOD
Op/O/MAMf)
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DIO EMPLOYEE/WEAR RESPIRATOR? RESPIRATOR TYPE & MOOEL yes O'NO SOMETIMES
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CODE
1
1 i 1 ___ 1___ 1 L_i_
MANUFACTURING INFORMATION (Size - Type of pipe Downtime - Etc.)
a
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EXHAUST CONTROL SYSTEMS
REMARKS
r-hS
1 *1 FUNCTIONING NORMALLY
|--| NOT FUNCTIONING | 1 NORMALLY
CODE
BLANK FIBER COUNT FIBERS IN
FIELDS =
MICROSCOPE MAKE & MODEL FIELD AREA
CONSTANT
m . c^OCa /mm2 K-
____________ -=T----------------------------------------
855
SAMPLE NUMBER
O'M}
TOTAL
FIELDS FIBERSPER CORRECT BY
FIBERS "^COUNTED = FIELD SUBTRACTING
TOTAL SAMPLE C0HRECT6D/iy+ VOLUME K =fjcc
TOTAL
SAMPLE flee x MIN.
BLANK
VOLUME (1)
TIME (MIN)
^7 fo o
-Vi
f/f x K-
L ITERS
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|
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j- TOTALS 276
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PAYROLL NUMBER OB TITLE
22 *
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PUMP MANUFACTURER
SERIAL NUMBER
____________________________________________ At^A _
FLOW RATE (Ipml
P' of
PLANT DATE OF TES T
V/ '3 /
CODE
_______ 1___
0(0 EMPLOYEE.WEAR RESPIRATOR? yes Cno sometimes
RESPIRATOR TYPE & MODEL
REMARKS
BLANK FIBER COUNT FIBERS IN
FIELDS _
/// Z`t*MICROSCOPE MAKE & MODEL
FIELD AREA
| CONSTANT
, mm2 |K F1ELDAREA)t 1000
SAMPLE NUMBER
TOTAL
FIELDS FlBERSPER CORRECT BY
FIBERS "^COUNTED = FIELD SUBTRACTING
TOTAL SAMPLE
CORRECTED///-. VOLUME K=flcC
TOTAL
SAMPLE flcCx MIN.
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TIME (MIN)
cnsA
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7^>
f/fx K= h
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TOTAL MIN.
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o ViLAa NT EMPLOYEE NAME
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cse-rt~5'&
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PAYROLL NUMBER JOB TITLE
CODE
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FLOW RATE (Ipm)
^I
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SAMPLE NUMBER | START
ML *>3 pv'+7
ACTIVITY DURING SAMPLING PERIOD
pp^ /LA^T^A* '// /a 77
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REMARKS
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tr/s"# /4-
CODE
EXHAUST CONTROL SYSTEMS
my
I--1 NOT FUNCTIONING
IMfuNCTIONING NORMALLY 1___ 1 NORMALLY
REMARKS
WEATHER CONDITIONS CXTTSIDE TEMPERATURE F
IaviwaoiI WIND DIRECTION
WIND VELOCITY
I^^CLOUDY | | HUMID Q
j pPARTLY [ | CLOUDY
FOG | [ SHOWE RS [ [
RAIN Q----SNOW Q
BLANK FIBER COUNT FIBERS IN
FIELDS _
|MICROSCOPE MAKE & MODEL
f/f j
^
1
FIELD AREA
CONSTANT
/ mm2 K- 856
=;</Q
SAMPLE NUMBER
TOTAL
FIELDS FIBERSPER CORRECT BY
TOTAL
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BLANK
VOLUME (1)
+ VOLUME * K
TOTAL SAMPLE TIME (MIN)
MIN.
r
f/f X K = yf-7 Liters
1 //
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TOTALS
TIME WEIGHTED AVERAGE
TOTAL pcc* WIN. _
TOTAL MIN.
1A
/ / f/cc
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PAYROLL NUMBER JOB TITLE
PLANT DATE OF TEST
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PUMP MANUFACTURER
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TIME START
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97
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ACTIVITY DURING SAMPLING PERIOD
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CODE T
________________________________________________________________________________________________________________________________________________________________________________
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___________________________________________________________________________________________________________________________________________________________________________________
1 i
DIO EMPLOYEE WEAR RESPIRATOR? RESPIRATOR TYPE & MODEL yes CInO SOMETIMES
REMARKS
BLANK FIBER COUNT FIBERS IN
FIELDS =
f/f
MICROSCOPE MAKE & MOOEL
3~^
FIELD AREA
CONSTANT
Km
mm2
856*
SAMPLE NUMBER
gy-^6
TOTAL
FIELDS FlBERSPER CORRECT BY
FIBERS "^COUNTED = FIELD SUBTRACTING
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CORRECTED flf* VOLUME K =flee
TOTAL
SAMPLE flee* MIN.
BLANK
VOLUME (1)
TIME IMIN)
5^.r /t?o ,3*r
7 ro * 3*7?f/f X K= Liters
7
mSjO
1- } llATOTALS
TIME WEIGHTED AVERAGE TOTAL fee* MIN. _
Q flee.
PLANET
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EMPLOYEE NAME
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r_PLANT date of tes
4^ \4A' 4 /|T CODE
III
Lof
SERIAL NUMBER
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A4^A
(P-.Ofr
DID EMPLOYEE WEAR RESPIRATOR? RESPIRATOR TYPE & MODEL yes B'no sometimes
REMARKS
MANUFACTURING INFORMATION (Size Type of pipe Downtime - Etc.)
t,
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r-Tf t_JFUNCTIONING NORMALLY
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X
OUTSIDE TEMPERATURE F
7 7 WIND DIRECTION t V WIND VELOCITY
CLOUDY 1 1
F0G 1 IsHOWERSf-]
c
SNOW [ |;
BLANK FIBER COUNT FIBERS IN
FIELDS =
&MICROSCOPE MAKE MODEL f/f
FIELD AREA
CONSTANT
* /}&&/ / AJmm2 K 'cic^ n A8flCSSA h inoo - k
SAMPLE NUMBER
TOTAL
FIELDS FIBERSPER CORRECT BY
=FIBERS "^COUNTED
FIELD
SUBTRACTING BLANK
TOTAL SAMPLE
CORRECTED flf+ VOLUME x K-flcC
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TOTAL SAMPLE TIME (MIN)
flccxmH.
c%-ST
y/.-T /oO
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f/f X K = lio.f LITERS
0 r <? ?7 o
3iX1
PpC.\
TOTALS 31o '
TIME WEIGHTED AVERAGE
TOTAL AT. MIN. TOTAL MIN.
9
fid.
PLANT
EMPLOYEE NAME
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PLANT DATE OF TEST
a P / /U2. / 2- FK CODE
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SERIAL NUM8ER
/-/ /
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FLOW RATE (Ipm)
_/l!
/' --2.
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SAMPLE NUMBER
START
Wv 1 C>
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ACTIVITY DURING SAMPLING PERIOD
CODE
//**'?' 7/2 l/cJz-
A'fT/>7~ A&/Z4 O/^A^S
DIO EMPLOYEE WEAR RESPIRATOR? Byes LUno Qsometimes
RESPIRATOR TYPE & MODEL
^.nyoo
REMARKS
MANUFACTURING INFORMATION (Size * Type of pipe - Downtime - Etc.)
-
CODE
EXHAUST CONTROL SYSTEMS
rr-| (^Functioning normally
1--| NOT FUNCTIONING |___ | normally
REMARKS
WEATHER CONDITIONS OLTTSIDE TEMPERATURE F
y
(avbrao*]
cumkiv
n mmvl IwiiMin I 1
PS'7 "7 WIND DIRECTION
WIND VELOCITY^ ly|pARTLYj--|
poG QsHOWERsQ
c
rain 1 ll
SNOW Q
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL FIELD AREA
[CONSTANT
f/f _______^_____________
mm2k-
856
SAMPLE NUMBER
dl^j
TOTAL
FIELDS FIBERS PER CORRECT BY
TOTAL
flf flee flccxFIBERS "^COUNTED = FIELD
SUBTRACTING SAMPLE CORRECTED
BLANK
VOLUME (1)
- VOLUME s K =
TOTAL SAMPLE
TIME (MIN)
MIN.
'Oo>
,<rvr
flf X K = 1^1-S Liters
0 f7
- /<AJ
j
TOTALS
TIME WeiGHTEO AVERAGE
TOTAL/Vr* MIN.
TOTAL MIN.
1A
m flee
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PLANT
EMPLOYEE NAME /j _ j
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PLANT DATE 0 F T ES T
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REMARKS
BLANK FIBER COUNT FIBERS IN
FIELDS _
(MICROSCOPE MAKE 8. MODEL
///
/?-/
FIELD AREA
CONSTANT
- / mm2 K- 855
SAMPLE NUMBER
0^3
<*flccTOTAL
FIELDS FlBERSPER
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CORRECT BY SUBTRACTING
BLANK
TOTAL
SAMPLE CORRECTED flf+ VOLUME K
VOLUME m
TOTAL
SAMPLE flee x MIN.
TIME (MIN)
>*1 /oo
'7^
flf x K = 7^ry Liters
0r >
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i
TOTALS
TIMS WEIGHTEO AVERAGE TOTAL/VCkMIN.
Pipe and Plastic Group
o
EMPLOYEE NAME
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PUMP MANUFACTURER
1
NO.
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REMARKS
MANUFACTURING INFORMATION (Size - Type of pipe * downtime - Etc.F
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EXHAUST CONTROL SYSTEMS
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REMARKS
WEATHER CONDITIONS
OUTSIDE TEMPERATURE F
| AVlRAOt]
u WIND DIRECTION 1>'S\WIND VELOCITY
"0^
SUNNY
CLOUDY
HUMID
cloudy
FOG showersQ
BLANK FIBER COUNT FIBERS IN
FIELDS __
MICROSCOPE MAKE & MODEL
f/f
FIELD AREA
CONSTANT
i /? && / mm2 K
856
CODE
RAIN F
snowQ
/*/<>
SAMPLE NUMBER
TOTAL , FIELDS FIBERSPER CORRECT BY FIBERS "^COUNTED = FIELD SUBTRACTING
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TOTAL
SAMPLE flcCx MIN.
BLANK
VOLUME (II
TIME (MINI
flf X K =
7 Liters
ss
1
TIME WEIGHTED AVERAGE TOTAL/Vr*MN. --
TOTALS. rtf' ./.eO
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PLANT
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7 / <f3
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SAMPLE NUMBER
START
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ACTIVITY DURING SAMPLING PERIOD
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DID EMPLOYER WEAR RESPIRATOR? yes 0NO SOMETIMES
RESPIRATOR TYPE & MODEL
REMARKS
1I
11 1, .
MANUFACTURING INFORMATION (Size - Type of pipe - Downtime - Etc.)
/s" jT/'Sy!'/*-T
CODE
EXHAUST CONTROL SYSTEMS
l--l/
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REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
>l WIND DIRECTION
----- --ySUNNY
CLOUDY Q HUMID Q
a.WIND VELOCITY
1^] CLOUDY pOG SHOWERS^
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL
///
&- A
FIELD AREA
CONSTANT
V&6 /mm2 K-
856
RAIN [ 11----SNOW
t1 Vyt-J |
SAMPLE NUMBER
o^l
TOTAL
FIELDS FlBERSPER CORRECT BY
FIBERS ^"COUNTED = FIELD SUBTRACTING
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CORRECTED /7/-> VOLUME K fjee
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BLANK
VOLUME (1)
TIME (MIN)
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f/f X K = L ITERS
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1
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SIGNATURE O^ANALYST
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PLANT DATE OF TEST
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SAMPLE NUMBER
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ACTIVITY DURING SAMPLING PERIOD
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33
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CODE
EXHAUST CONTROL SYSTEMS
M FUNCTIONING NORMALLY
j--j NOT FUNCTIONING (___ (NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE WF
b ^ AWIND DIRECTION
^ ^WIND VELOCITY
SUNNY
/c f^CLOUOY [
| HUMID
Q]
CLOUDY FOG [SHOWERS^]
RAIN | | SNOW Q
BLANK FIBER COUNT FIBERS IN
FIELDS _
f/f
MICROSCOPE MAKE & MODEL j FIELD AREA
/L- It// mm2 1
CONSTANT
If.
855
SAMPLE NUMBER
TOTAL
FIELOS FIBERSPER CORRECT BY
TOTAL
flf tK-flcC f]cCFIBERS "^COUNTED = FIELD
SUBTRACTING SAMPLE COHRECTEO
BLANK
VOLUME (!)
-* VOLUME
TOTAL SAMPLE TIME (MIN)
x MIN.
^7
/oo <1
M-
flf x K-
LITERS
4f
w
. / v->
,
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TOTALS t1hsf ?f.1
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PLANT
EMPLOYEE NAME
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CODE I
EXHAUST CONTROL SYSTEMS
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1 <jFUNCTIONING NORMALLY |___1 NORMALLY
REMARKS
WEATHER CONDITIONS
OUTSIDE TEMPERATURE F
[V1HQ1
9 'o
(AsWIND DIRECTION S'
'wind VELOCITY
0^SUNNY
CLOUDY Q] HUMID
Q
C 1 PARTLY | | CLOUDY
FOG | | SHOWERS | |
RAIN |~~| SNOW Q
BLANK FIBER COUNT FIBERS IN
FIELDS __
MICROSCOPE MAKE & MODEL
f/f
FIELD AREA
CONSTANT
K-
8S6
* / /o
1
SAMPLE NUMBER
TOTAL , FIELDS FIBERS PER CORRECT BY FIBERS "^"COUNTED = FIELD SUBTRACTING
TOTAL SAMPLE
CORRECTED flf* VOLUME > K -flee
TOTAL SAMPLE
flcCx MIN.
BLANK
VOLUME m
TIME (MINI
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160
flf X K-
L ITERS
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SIGNATURE OF SAMPLER
SIGNA
TIME WEIGHTEO AVERAGE TOTAL.A t * MIN
TOTALS
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TIME
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ACTIVITY DURING SAMPLING PERIOD
CODE
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DIO EMPLOYEE WEAR RESPIRATOR? RESPIRATOR TYPE & MODEL
yes Ejno sometimes
REMARKS
MANUFACTURING INFORMATION (Size Type of pipe - Downtime Etc.)
/^Ay<c)_____________________________________
_________________________
CODE
EXHAUST CONTROL SYSTEMS
NOT FUNCTIONING
NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE
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CLOUDY [ | HUMID
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RAIN | | snowQ
duANK rIBER COUNT FI&ERS IN
FIELDS _
MICROSCOPE MAKE & MODEL
///
g/l
FIELD AREA . mm2
CONSTANT
K-
856
=VV'
SAMPLE NUMBER
= K TOTAL
FIELDS
FIBERS "^COUNTED
FIBERS PER FIELD
CORRECTBV
SUBTRACTING BLANK
TOTAL
SAMPLE CORRECTED flf* VOLUME
VOLUME (1)
flee
TOTAL
SAMPLE fJcCx MIN.
TIME (MINI
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DID EMPLOYEE WEAR'RESPIRATOR? RESPIRATOR TYPE & MODEL
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REMARKS
BLANK FIBER COUNT FIBERS IN
FIELDS.
MICROSCOPE MAKE & MODEL
f/f s/u
FIELD AREA
i /mm2
CONSTANT
V_
856
*
K ------------------------------------------
FIELD AREA * 1000
j **-./(;
/
SAMPLE NUMBER
-fl<XTOTAL
FIBERS
FIELDS FIBERS PER "^COUNTED = FIELD
CORRECT BY SUBTRACTING
BLANK
TOTAL
SAMPLE VOLUME II)
CORRECTEDVOLUME K
TOTAL
SAMPLE flee x MIN.
TIME (MINI
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f/fx K = 732/ L ITERS
J -3 -3
TIME WEIGHTED AVERAGE
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A
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SIGNATURE OF SAMPLER
TOTALS SIGNATUIBJbOF ANALYST
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o
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P'f^CLOl SUNNY I *n CLOUDY Q HUMID
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BLANK FIBER COUNT FIBERS IN
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MICROSCOPE MAKE fit MODEL
flf 3-^
FIELD AREA * / mm2
CONSTANT
k-
856
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SAMPLE NUMBER
TOTAL
FIELDS FIBERSPER
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Q EXHAUST CONTROL SYSTEMS 0FUFUNNCCTIONING NORMALLY Q NNOOTRMFUANLLCYTIONING
REMARKS
CODE
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL
flf
3'^
FIELD AREA
CONSTANT
Km
856
* mm2
SAMPLE NUMBER
TOTAL
FIELDS FlBERSPER CORRECT BY
TOTAL
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CTD021936
CS^E^gdB ASBESTOS WOMITOBINC DATA SHEET
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2%-X
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f=5?' ^
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START
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r.'7 / / O fs" V * /
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CODE
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MICROSCOPE MAKE & MODEL
flf
FIELD AREA
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*6* 0
If. /mm2
856
SAMPLE NUMBER
TOTAL
FIELDS FIBERSPER CORRECT by
flf =flcc flcCxfibers "^counted = field SUBTRACTING
TOTAL SAMPLE CORRECTED
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SAMPLE TIME (MINI
MIN.
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ASBESTOS IHONITOBIHfi DATA SHEET N0
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PLANT DATE OF TES T
V\/ P&
EMPLOYEE NAME
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PAYROLL NUMBER JOB TITLE
PUMP MANUFACTURER
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JZ-S 5~ o
CODE
EXHAUST CONTROL SYSTEMS
O FUNCTIONING NORMALLY
NOT FUNCTIONING NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
WIND DIRECTION
SUNNY |
tu'v WIND VELOCITY <S? ^ CLOUDY
| C>iOUOV | | HUMID | |
POG SHOWERSQ
C
RAIN | ||H--
SNOW Q !
BLANK FIBER COUNT FI8ERS IN
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f/f
MICROSCOPE MAKE & MODEL FIELD AREA
^-4____________________________
mm2
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K
856
SAMPLE NUMBER
c/ 0
flf+ ffccTOTAL
FIELDS FIBERS PER CORRECT BY
TOTAL
FIBERS ^"COUNTED = FIELD
SUBTRACTING SAMPLE CORRECTED
BLANK
VOLUME III
VOLUME * K "
TOTAL
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TIME (MIN)
c o/J3-
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f/fx K=
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c v .6
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1 1
TOTALS FSIGNATtfflEO ANALYST
f-319
TIME WEIGHTED AVERAGE
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*0
flee
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. DISTRIBUTION: WHITE-PLANT SAFETY FIIE/CANARY-CORP. HEALTH k SAFETY/PINK-PLANT PERSONNEL;FILE/COLOEHROO-CROUP HEALTH * .SAFETY
CTD021938
o PLANT
EMPLOYEE NAME
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PUMP MANUFACTURER
NO^ *i ASBESTOS MOHITORING DATA SHEET
PLANT DATE OF TEST
PAYROLL NUMBER JOB TITLE
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SERIAL NUMBER
FLOW RATE (Ipm)
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SAMPLE NUMBER
START
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ACTIVITY DURING SAMPLING PERIOD
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1
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jr^ /S&
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COOE
WEATHER CONDITIONS
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WIND DIRECTION
WIND VELOCITY
SUNNY | [ CLOUDY| |HUMID | |
PARTLY pH CLOUDY
FOG | | SHOWERS | |
RAIN | 11----SNOW Qj!
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MODEL
f/f S-*-
FIELD AREA
CONSTANT
1*
mm2 K
856
=/00
SAMPLE NUMBER
60*?
TOTAL
FIELDS FIBERS PER CORRECT BY
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BLANK
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52^flfX K=
7 tsr Liters
0
Q SIGNATURE OF SAMPLER
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CTD021939
Pipe and Plastic Group
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PLANT DATE OF TEST
.p/t/Z' fi%S/Q PAYROLL NUMBER JOB TITLE
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CODE
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DID EMPLOYEE/WEAR-RESPIRATOR? RESPIRATOR TYPE & MOOEL
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REMARKS
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o 'f-sZV____________________________________________________________
_______________________
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CODE
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|avko|
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WIND VELOCITY
tSUNNY | | CLOUDY Q HUMID
|
1 PARTLY |IP/ FOG CLOUDY
| | SHOWE RS |
| |
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MOOEL
///
3-l
[FIELD AREA
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856
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SAMPLE NUM8ER
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CTD021940
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1 1 1
LI.
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|_J NORMALLY
CODE
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I* al
----- I^SUNNY | | CLOUDY | | HUMID Q
OUTSIDE TEMPERATURE F
fc WIND DIRECTION It/ WIND VELOCITY
CLOUDY
FOG DSHOWERSQ
RAIN [ |^I SNOW Qj
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MODEL FIELD AREA
CONSTANT
f/f __________ _____________
mm2 K
856
SAMPLE NUMBER
TOTAL
FIELDS FIBERSPER CORRECT BY
flee*.FIBERS ^"COUNTED = FIELD SUBTRACTING
TOTAL SAMPLE
CORRECTED fjf* VOLUME * K ffcc
TOTAL SAMPLE
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CTD021941
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PLANT DATE OF TEST
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START
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DID EMPLOYEE-^AR RESPIRATOR? yes ^NO SOMETIMES
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REMARKS
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FIELDS _
MICROSCOPE MAKE & MODEL
fff
FIELD AREA
CONSTANT
'&&& /
K-
mm2
856
SAMPLE NUMBER
o&0
TOTAL
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FIBERS "^COUNTED = FIELD SUBTRACTING
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CORRECTEDfjf+ VOLUME .<flee
TOTAL
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BLANK
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TIME (MIN)
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TOTAL MIN.
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DISTRIBUTION: WHITE-PLANT SAFETY f ILE/CANARY-CORP. HEALTH fc SAFETY/P INK-PLANT tPERSONNEL FILE/GOLOENROD-GROUP HEALTH SAFETY
CTD021942
-- -v*** - --
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DIO EMPLOYEE WEAR RESPIRATOR? RESPIRATOR TYPE & MODEL
Dyes Dno D sometimes
REMARKS
WEATHER CONDITIONS
OUTSIDE TEMPERATURE F
|*VIU8|
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V WIND VELOCITY
SUNNY | | CLOUDY | | HUMID Q CLOUDY ET^ FOG SHOWERSQ
RAIN [ |j-H SNOwQ|
BLANK FIBER COUNT FIBERS IN
FIELDS __
MICROSCOPE MAKE & MODEL
fff
FIELD AREA
CONSTANT
Km
855
mm2
* / <J<J
SAMPLE NUMBER
TOTAL
FIELDS FlBERSPER CORRECT BY
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PLANT DATE OF TEST '$3 /?'!'/
CODE
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REMARKS
MANUFACTURING INFORMATION (Size - Type of pipe - Oowntima - Etc.) /V^..
CODE
EXHAUST CONTROL SYSTEMS
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NOT FUNCTIONING NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIDE TEMPERATURE F
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WIND VELOCITY O
.SUNNY Q CLOUDY Q HUMID Q
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RAIN | |[II
SNOW Q;
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MODEL FIELD AREA
f/f Z ^ L_____________ ^_________________________
CONSTANT
K-
85S
SAMPLE NUMBER
oa'i
TOTAL FIELDS FlBERSPER FIBERS ^"COUNTED = FIELD
CORRECT BY
SUBTRACTING BLANK
TOTAL SAMPLE CORRECTED /1ft VOLUME K '`flee VOLUME II)
TOTAL SAMPLE flcCx MIN. TIME (MIN)
/oa . j
r7^
f/fx K=
Liters
* 0r
US'
( i
TIME WEIGHTEO AVERAGE
TOTAL/VC* MIN _.rui(l
TOTAL MIN.
I*A
Q SIGNATURE OF SAMPLER
TOTALS yl'Z
VJ
SIGN ATURE^OF ANALYST
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CTD021944
w EMPLOYEE NAME
< 415 PUMP MANUFACTURER
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PAYROLL NUMBER JOB TITLE
PLANT cJ\j?
DATE OF TEST
<7
M.
r
CODE
SERIAL NUMBER
i-1 / ycf/s^iAtA
FLOW RATE <lpm)
,,L
2, "1
SAMPLE NUMBER
START
TIME
4 >'
ACTIVITY DURING SAMPLING PERIOD
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^REMARKS
"
MANUFACTURING INFORMATION (Size - Type of pipe - Downtime - Etc.)
CODE
Or EXH/WJST CONTROL SYSTEMS
0FUNCTIONING NORMALLY
I
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NOT FUNCTIONING NORMALLY
REMARKS
WEATHER CONDITIONS OUTSIOE TEMPERATURE F
WIND DIRECTION
>4, t WIND VELOCITY o
SUNNY | | CLOUDY Qj HUMID |
PARTLY [sA FOG | | SHOWS RS | CLOUDY
| |
C RAIN | ||-- SNOW Q-
BLANK FIBER COUNT FIBERS IN
FIELDS,.
MICROSCOPE MAKE & MODEL
///
&-1*
FIELD AREA
CONSTANT
/5 /mm2 K
/ `-fc)
SAMPLE NUMBER
oe?3
TOTAL FIELDS FlBERSPER FIBERS "^COUNTEO = FIELD
CORRECT BY
SUBTRACTING BLANK
TOTAL SAMPLE CORRECTED ftff VOLUME K fflcf VOLUME (II
TOTAL SAMPLE TIME (MINI
flee k MIN.
f*) /0O
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f/fx K=
LITERS
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1
TIME WEIGHTED AVERAGE TOTAL fcCn MIN. _
QrSIGNATURE OF SAMPLER
TOTALS 373 TV//'
SIGNATURE Of ANALYST * yU<**-%4**-^*-*~*
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PLANT DATE OF TEST
/ /Li CODE
FLOW RATE Opm)
/ /'
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SAMPLE
TIME
NUMBER START
c y" / `f ' A-
ACTIVITY DURING SAMPLING PERIOD
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CODE
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SOMETIMES
RESPIRATOR TYPE & MODEL
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REMARKS f
BLANK FIBER COUNT FIBERS IN
FIELDS _
MICROSCOPE MAKE & MODEL
fff
a/ IS
FIELD AREA
CONSTANT
CO&/mm2 tC m
856
SAMPLE NUMBER
&<o7-
TOTAL FIELDS FIBERS PER FIBERS "^COUNTED = FIELD
MU /DO />>'
CORRECT BY
SUBTRACTING BLANK
TOTAL SAMPLE VOLUME (I)
fflo. 2/
corrected/i/V volume . K */lnr
JZ6< k=
L iters
TOTAL SAMPLE JfcCx MIN. TIME (MINI
JoTF>'
* / y- >
Q SIGNATURE OF SAMPLER
TOTALS
SIGNATURES ANALYS'
TIME WEIGHTED AVERAGE
total/Vt MIN.
TOTAL MIN.
1
flee
Al,1
DISTRIBUTION; WHITE-PLANT SAFETY FILE/CANARY-CORP. HEALTH & SAFETY/PINK-PLANT PERSONNEL FILE/COLOENROO-CftOUP HEALTH 4 SAFETY
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