INSTRUCTIONS FOR COMPLETING AEHA FORM 8-R, BULK SAMPLE DATA
Return address. Self-explanatory.
Point of contact. Name and telephone number/DSN of person in charge of
Sampled installation. Self-explanatory.
Project number. For USAEHA and DSA use only.
ARLOC. Army location code - reference DA Pams 525-12 (CONUS) and 525-13
Samples collected by. Self-explanatory.
Data collected. Self-explanatory.
Date shipped. Date samples sent for analysis.
Description of operation. Brief description of the industrial operation (for example:
degreasing metal parts, spray painting vehicles, and so forth).
Location (building/area). Self-explanatory.
Associated complaints. Worker complaints about exposure problems arising from
operation (for example: dizziness, nausea, skin irritation, and so forth).
Associated air samples. If air samples corresponding to these bulks are submitted
for analysis, indicate and list the sample numbers that identify these air samples.
Ship air samples separately from bulk samples.
Trade name. Self-explanatory; if unknown, so indicate.
NSN. If available, so indicate.
Manufacturer. Self-explanatory; if unknown, so indicate.
Address. Self-explanatory; if unknown, so indicate.
MSDS. Attach the MSDS, whenever possible, and so indicate.