Att K_Personal Air Sampling Log

Attachment K

Personal Air Sampling Log

NIOSH Staff ________________________

Name: First Last	Job Title:		Date:
Work group: Production / Production support		Department:

Personal Samplers
Sampler Type	Serial #	Filter ID	Time On	Time Off	Total Min in pump	Pre-Cal	Post-Cal	Pump Number	Fault Y/N
pDR, 2.5LPM		PN0824 ________
Respirable cyclone, 4.2LPM		PN0824 ________

Pump / pDR Check
No	Time	Sampling time (min) in pump and condition
1
2
3
4
5
6
7