New Jersey Department of Health

Consumer, Environmental and Occupational Health Service

Environmental and Occupational Health Assessment Program

P. O. Box 369, Trenton, NJ 08625-0369

ASBESTOS MANAGEMENT PLAN

MAJOR/MINOR FIBER RELEASE EPISODE LOG
FOR STATE USE ONLY
Name of Responsible Governing Authority

Name of Facility

Building Assessed

G.	Description of minor/major fiber release episode log, including the following information in the event of a fiber release episode:

1.	Date of Episode

2.	Location of Episode

3.	Method of Repair

4.	Preventive Measures or Response Actions Taken

5.	Name, Address, Telephone Number, and Affiliation of Each Person Performing the Work

6.	If ACBM is Removed, the Name and Location of the Storage or Disposal Site for ACM.

ASB-18

MAR 13

P

ASB-18, Asbestos Management Plan, Major, Minor Fiber Release episode Log

asb-18, asbestos management plan, AMP, major, minor, fiber, release, episode, log, CEOHS, EEOH, consumer, environmental, occupational, epidemiology

Elaine White

2005-01-12

ewhite

NJDOH