Document e7QDmDdEEwGZRoL4b91eeeoQ4
ABDOO106907
CHEMICAL EXPOSURE SAMPLING
ifteer-$& i/Sttr
DATA SHEET
SAMPLE N(k-
di-
Sample Date:'~|
Sampled By: Location: j
CoH4<
(^c'1xutT^O Operation in Progress:
0^ fp-f)U pa*--
Start
Time:
Hot
-- Sampling Flowrate:
Filter Weight: _________
Stop IS S>(D
Change
^
Sampling Method; Equipment:
Product(s): Suspect Chemicals: C1^
Temp: ^G? Wind: ^VJ V|0
giusua^C^nd i t i on s:
tKj < X/JXL -S___________________
ANALYSIS: Date: By: Method; Equipment:
c$^|M--f - typ ^-
(V\ nrc/ crv^v ~~L- ^L-tsujz^ /Xrurv^ V*i-^
Date:
CALCULATIONS: By:
Direct Results of Measurement:
FINAL RESULTS:
Sampling Time:
Hrs.,
Min.,
Type of Sample: Area____, Pers.
Other
CHEMICAL(S)
CONCENTRATION(S)
Sec