Air Monitoring Daily Activity Report

• Audit Title

• Document No.

• Conducted on

  Date

• Technician:

  Christopher C. Bass

  Anna B. Holland

  Louis J. Bergeron

  Mitchell L. Holland

  Carl Sterling

Project Information

• SR Project Number:

• Project Name:

• Project Address:
  Address

• Client Name:

• Client Address (check if different from project address):
• Client Address:
  Address

• Client Contact:

Project Contacts

• Project Firms

  Select Architect - Ellender (Scott Manino) Consultant - ADG Inc (Eric Thompson) General Contractor - Pat Williams Construction (Pat Sewell) Abatement Contractor - Gulf Services Contracting (Jonathon Valle)

  • Architect - Ellender (Scott Manino)
  • Consultant - ADG Inc (Eric Thompson)
  • General Contractor - Pat Williams Construction (Pat Sewell)
  • Abatement Contractor - Gulf Services Contracting (Jonathon Valle)

Project Detail

• Project Type

• Renovation

• Demolition

• Other

• Other Detail:

• Type of Material Being Abated:

  Select Presumed ACM Surfacing ACM Thermal System Insulation Mold Lead Other

  • Presumed ACM
  • Surfacing ACM
  • Thermal System Insulation
  • Mold
  • Lead
  • Other

• Total Amount of Material Being Abated:

• ADVF Number:

• Disposal Site:

Work Information

• Area Work is Being Performed:

• Area Containment Type:

  Select Full Partial Open Air Glove Bag

  • Full
  • Partial
  • Open Air
  • Glove Bag

• Material

  Select Presumed ACM Surfacing ACM Thermal System Insulation Mold Lead Other

  • Presumed ACM
  • Surfacing ACM
  • Thermal System Insulation
  • Mold
  • Lead
  • Other

• Other Removal Technique:

• Other Details:

• Removal Technique:

  Select Enclosure Removal Encapsulation Other

  • Enclosure
  • Removal
  • Encapsulation
  • Other

• Other Details:

• Removal Technique:

  Select Wet Vacuum HEPA Vacuum Damp Wipe Biocides Removal Other

  • Wet Vacuum
  • HEPA Vacuum
  • Damp Wipe
  • Biocides
  • Removal
  • Other

• Removal Technique

  Select WET DRY OTHER

  • WET
  • DRY
  • OTHER

• Other Details:

• Amount Of Material To Be Removed From Containment Area:

Project Personnel List

• Daily Project Personnel List

Personnel

• Employee Name:

• Employee Identification #:

• Job Title:

Daily Activity Data

• Daily Weather Conditions

• Temperature *F

• Humidity %

• Precipitation

  Select Rain Sleet Snow Mixed

  • Rain
  • Sleet
  • Snow
  • Mixed

• Precipitation Amount:

• Wind Direction

  Select None North South East West Northeast Northwest Southeast Southwest

  • None
  • North
  • South
  • East
  • West
  • Northeast
  • Northwest
  • Southeast
  • Southwest

• Wind Speed:

• Project Activity Log

Activity

• Activity Time:

  Date

• Description:

• Media:

  Media

• Notes:

Air Monitoring Site Diagram

• Project Site Diagrams

Diagram

• Diagram

  Drawing