Information
Project Information
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Document No.
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Technician:
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Date:
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Project Number:
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Project Name:
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Project Address:
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Client:
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Check if Client Address Different Than Project Address
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Client Address & Phone:
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Contractor:
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Address:
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Phone:
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Supervisor:
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Project Type:
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Demolition
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Renovation
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Other:
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Area Work is Being Performed:
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Material:
- PACM
- Surfacing ACM
- TSI ACM
- Mold
- Lead
- Other
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Other Description:
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Other Removal Technique:
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Removal Technique:
- WET
- DRY
- OTHER
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Other Details:
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ADVF Number:
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Disposal Site:
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Removal Technique:
- Wet Vacuum
- HEPA Vacuum
- Damp Wipe
- Biocides
- Removal
- Other
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Removal Technique:
- Enclosure
- Removal
- Encapsulation
- Other
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Other Details:
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Area Containment:
- Full
- Partial
- Open Air
- Glove Bag
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Amount of Material Being Abated:
Project Personnel
Project Personnel List
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Project Personnel List
Personnel
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Employee Name:
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Employee Identification #:
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Job Title:
Daily Activity Entry
Daily Activity Data
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Project Activity Log
Activity
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Activity Time:
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Description:
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Media:
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Notes:
Site Diagram
Air Monitoring Site Diagram
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Project Site Diagrams
Diagram
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Diagram
