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DOE-EM-STD-5503-94
personal samples are taken, worker name and social security number should be added to these
forms.
8.12. TIME-INTEGRATED SAMPLING DATA
The following information, at a minimum, should be specified in time-integrated sampling data
forms:
Site Location/Date,
Work Area/Operation Name,
NIOSH Method Used,
Air Flow Calibration Record,
Instrument Calibration Record,
Temperature, Pressure, Humidity,
Area/Sampling Location Diagram,
Area Sample Description/Location,
Sampling Data,
Pump I.D.,
Flow Rate,
Sample Filter/Tube Number,
Pump On/Off (Time),
Volume Air Collected (Liters),
Sample Submission Number,
Laboratory Sample Number,
Analyte Results (mg/m3, ppm, or f/cc),
Field Notes,
Description of Operation and Complaints/Symptoms,
Chemicals/Materials/Equipment in Use,
Engineering/Administrative Controls in Effect,
Personal Protective Equipment in Use,
Sampling Observations/Comments,
AIHA Accredited Laboratory Name,
Laboratory Location,
Chemist/Industrial Hygienist Name,
Principal Air Monitor, and
Reviewer.
8.13. DIRECT-READING AIR MONITORING DATA
The following information, at a minimum, should be specified in direct-reading air monitoring data
forms:
Site Location/Date;
8-9


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