Time-Integrated Sampling Data

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;

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