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~ PROJ. No: ( y 2~- b6 <br />DATE: 6- l0 9-1 Pg. I of~_ <br />,., See air monitoring reports of this date~ <br />THREE RIVERS <br />--- ENVIRONMENTAL <br />ASBESTOS PROJECT CHECKLIST <br />PROJECT I~AME: ~L~1 Coum~,~,5£ ~VA2t <br />~ 1~1 i~1 U N 17`1 ~lJ~ v E W F%~-'1 E1~f~}2t~ WL ~1 Al3AT~NIL~•.rT <br />PROJ. MGR ~C~SYI iTL 1 <br />ONSITE:__8~v0 OFFSITE: 16~30 <br />OWNER PROVIDED ON-SITE CONTACT: CONTRACTOR P~ ~. • <br />I~1AME: &3 0 t~/ - (J~V ~ll~j SUPERVISOR: V I(fl ~{OEhI I(7 <br />Nl ( KY`- Srt~l~r ~J --- ~.S'TUN G%i~rrlCV~n a nl ~~, <br />Intent to remove ACM on site and complete`?-~L°-~1L1~b -~NGy PERSONNEL & CORRECTION <br />~/ METHODS ~QUIRED <br />Date Pre-abatement sarriples take~: /-~ Np YES <br />Disposal site: /r~l <br />AREA ISOLATION <br />BARRICADES & SIGNS: <br />-- AIRLOCKS: <br />COVERINGS ON FLOORS & WALLS: <br />NON-MOVABLE EQUIP. COVERED: <br />CORRECTION <br />REQUIRED <br />NO YES <br />~ ~) <br />~ ~) <br />~ ~) <br />~ ~) <br />WORKER PROTECTION ADEQUATE: M <br />PERSONAL AIR MONITORS USED: M <br />PROTECTIVE CLOTHING: ~ <br />PERSONNEL USING DECON: ~ <br />EQUIP. MAINTAINED PROPERLY: ~ <br />WEITING, PRIOR & DURING: ~ <br />EXCESSNE DEBRIS: ~ <br />BAGGING OPERATION: M~ <br />NEGATIVE AIR ADEQUATE: M <br />DECON ADEQUATE: « <br />CLEAN ROOM ADEQUATE: M <br />SHOWER FILTERED AND ADEQUATE: ~ <br />ALL OPENINGS SEALED: ~ ~~ Respiratory Protection in use: <br />AIR HANDLING EQUIP. OFF/SEALED: ~ O 1/2 Face ~ Full Face O PAPR O Type CO <br />PROJECT MANAGEMENT LOG <br />~0~"'~F~/?J~.-f~ IQIVI~,JQS IE.I~A/I~GNY11<hl'TALrJNLrlS dN SiT)zr ~1~J~TIIJ~i W~FI l?Ik~i~ S'TA'f(~''~Gb~/E'~ lllr/I KdS,IJ~'d <br />cl ~n~~~,+ Fn ~erJ s~i~ 7~}~~rl~-` GLaa ~2 rc.~ wi ~ ~ B,~ /~-~~ ~~ TdDAv1, APp~2G~ ir~4rF---ly1 36 o a <br />_~j, ~ df FL~~c/1 T~l,.k- ANY~ CSU NA~e ir rI-N65 M?!S 7v 6` ~'~/~ <br />/U:OU- Q1 _ H"~5 L~rvS(~2Li~a7~-U col,r~~i /~n?"MQ~unC~ ~~= `Locr2 77~-~ lafJ-~vAL ~Af21EA,Af~ln r5 ~S~ <br />~2~,.~ ~Yt~v~ 89~6 ~~aiAZ ~~2k~~ Sl~h'~i-in~e ~-~ Ain ~w~PI~S . <br />[Z:~- TfZyCi tS N~ SfA~2171~.6 CC,~A92A~1~/[.~ A142 SA1~^~L.~C~ i/~r ~~+~ T7U~. Ca~~TSYi~~~ <br />13: o o - [~2y~~ 6G~v~~~9~nr6 . <br />.. s. .. . ~- - •'- _ ' - ^ - - _^- .- ~ _ _ ,_ ,. -. - _. _ . _ , <br />ffY~ ~A~t~Y~ DI~~IiS,..Mvt~ /fi,c~~ Rl,c. CLXdN vP. ~'~ ~r1~-S ~Ys~'zh Fzo~.-271c~ ~~'L A~H <br />n~~ wt~ ~~ ~~+ r~ n t~t~;~sv~-r ~,aT ~rL B,~ , ~s ~H 7v ,~,-~ pF~~c.~sr~r~v. r~r.,,~. <br />~}-~r s N~ ~S r~r~.b ~ra L~r i~r•~v-~or~~2~w ~, <br />~F~ ~ 4i-~-~o1.XS~ Pc.~l.1'~ B~-t S/~~- oLsS~-v . <br />SIGNATU . <br />P.O. Baac 216 G~tone. OR 97C127 (50~ 557-2~9~6 Faac ~57-:~02.5 <br />