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0 100 ri 2 446 2 <br /> Air Data Sheet & Chain of Custody <br /> Affordable Asbestos Abatement of Washington <br /> Date: S.e. afr 3.4/4s Roi/ <br /> Job#: 11‘acl,e(IC K <br /> Job Name: <br /> Supervisor: R.Scherf <br /> Lab Name: <br /> Batch#: 20( 124 <br /> (425)319-9965 <br /> ID Type Description�c9 ii Time LPM Tot Liters _ floc <br /> Location: l�r�'j1"t `p� 1)V.0.1,;IA PlOCie Start Start <br /> e s Activity: End: End: <br /> '+ -t•°' } Employee: Min: Avg: <br /> SSN: <br /> Location: Nig\e.i 0440001 W gi,4 Start: Start <br /> , (.-! \A Activity: End: End: <br /> Employee: Min: Avg: <br /> SSN: <br /> Location: kn, P t3 eC.Ili c,,sa t‘ Start Start: <br /> ( Activity: End: End: <br /> �6 � Employee: Min: Avg: <br /> SSN: <br /> Location: Lti Ps.r—V4: 1 c:1°1e-' ce,r Start Start <br /> ��5 a�� Activity: End: End: <br /> �1 Employee: Min: Avg: <br /> SSN: <br /> Location:CritYvti 0eoo r r1 } ft).1.11.1) start: Start <br /> ` Activity: End: End: <br /> 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 /> Siiggnatuurre- Date Time Reg Air Rush Air <br /> Sampled by I Ali elite, �-+--- 31.gb1/ <br /> Delivered by .7% f _.. l <br /> Received by ,qr�1 I i.2- , �.Q Reg Bulk Rush Bulk. <br /> Analyzed by / f )(i ( y 5 <br />