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• 1 qt 2 <br /> Air Data Sheet & Chain of Custody <br /> Affordable Asbestos Abatement of Washington <br /> Date: 'u.yr 30 II <br /> Job#: Vico)�d-1 r. <br /> Job Name: <br /> Supervisor: R.Scherf <br /> - Lab Name: <br /> Batch#: ,0 ICI ( 2.lj & 2- <br /> (425)319-9965 <br /> 1D Type Description Time LPM Tot Liters f/cc <br /> Location: ,prn v. 1DD IX ft4 Start Start <br /> Activity: End: End: <br /> ti Employee: Min: Avg: <br /> 1-,L SSN: <br /> Location: 1-49`t,v1A1`tj lk.eXar ( Start: Start <br /> exr Activity. 11(4'a w' End: End: <br /> j ,r Employee: Min: Avg: <br /> SSN:Location: \'� .✓1 k leor 0,,,It Start Start: <br /> 1 Activity: End: End: <br /> ti <br /> V (s Employee: Min: Avg: <br /> SSN: 0� <br /> Location: 1 i 0% 1 :kctra t,1141 Start Start <br /> Activity: End: End: <br /> C.) 4- Employee: Min: Avg: <br /> Or <br /> SSN: <br /> Location: ,o. ny tory C`tC'c sr' Start Start <br /> Activity: End: End: <br /> V ^,J Employee: Min: Avg: <br /> SSN: <br /> I certify that the information on this page is a complete and accurate record and that I performed the <br /> sampling described hereon. <br /> Sign tore Date Time Reg Air Rush Air <br /> Sampled by 41h & vWl esM• .i 7 5,01/ f _ <br /> Delivered by k� ,c 0° <br /> Received by "! . ;10/1 (2 :, Reg Bulk Rush Bulk <br /> Analyzed by f 7,4v ; G `. ' 5 <br />