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PCAR - Air <br />❑ NIOSH 7400 <br />C1 w1 OSHA 8hr. TWA <br />PLM - Bulk (reporting limit) <br />PLM EPA .6001R-93/116 (<1 %) <br />PLM EPA NOB (<1%) <br />Point Count <br />0 400 (<0.25%) 01000 (<0.1%) <br />Point Count w/Gravimetric <br />❑ 400 (<0.25%) 0 1000 (<0.1%) <br />❑ NYS 198.1 (friable in NY) <br />❑ NYS 198.6 NOB (non -friable -NY) <br />0 NIOSH 9002 (<1%) <br />Samplers Name: J <br />Sample # <br />6-40 <br />Client Sample # (s): <br />Relinquished (Client): <br />ENISL ANALY11CAL, fife. <br />Asb_stos Cif:.;a i of Custody <br />E � SL Oder Number (Lab Use Only): <br />7890 <br />ESL At+- '.YµlCAL, INC. <br />1L,375 '3 ' Avr NORTH <br />'•-"NEAPOLIS, MN 55447 <br />PHONE: cif. 3) w7-or <br />FAX: (763) 44 p-d-924 <br />Company : Environmental Property Audits. Inc. <br />EMSL-Silt to: gi Same ❑ Different <br />If Bill to is Different note instruct ions in Commentse' <br />Third Party Th1Ing requires written authorization from Ord party <br />1 <br />Street: 2701 N 4th Avenue <br />City: Anoka <br />I Stiate/Province:.MN , <br />Zip/Postal Code: 55303 Country: USA <br />Report To (Name): Jim Lindell] <br />Fax #: 763-323-6677 <br />Telephone #: 763-323.6700 <br />Email Address: lindahl, epaconsuitants.cam <br />Project Name/Number: _ / <br />Please Provide Results: Fax <br />Email <br />Purchase Order: f U.S. State Samples Taken: <br />Turna l t L..1) Options* - Please Check <br />❑ 3 Hour [ ❑ 6 Hour I ❑ 24 Hour r= El 72 Dour El96 Four El1 Week I El Week2 Wee <br />*For TEA? Air 3 hr through 6 hr, please call ahead to Sal. • {, A•+: charge far 3 Hour TEM AHFRA or EPA Level tt TAT You will be asked b sign <br />en authorization fwm for this service, Analysis completed in accordance rift EMSL's Terms and Conditions located in the Analytical Price Guide <br />TEN® -Air 0 4-4.5hr TAT CAMERA only) TEAR- Bust <br />Q AHERA 40 CFR, Part 763 ❑ Microvac - ASTM Q 5755 <br />❑ NIOSH 7402 <br />❑ EPA Level it <br />▪ ISO 10312 <br />El Wipe - ASTM D6480 <br />❑ Carpet Sonication (EPA 600M-93/167) <br />TEM - Bulk <br />TEM EPA NOB <br />❑ NYS NOB 198.4 (non -friable -NY) <br />❑ Chatfield SOP <br />❑ TEM Mass Analysis -EPA 600 sec. 2.5 <br />TEM -- Water: EPA 100.2 <br />SoillRocirlllermicul ie <br />❑ PLM CARS 435 - A (0,25% sensitivity) <br />❑ PLM CARB 435 - B (0.1 % sensitivity) <br />❑ TEM CARE 435 - B (0.1% sensitivity) <br />TEM CARB 435 - C (0.01% sensitivity) <br />0 EPA Protocol (Semi -Quantitative) <br />0 EPA Protocol (Quantitative) <br />Fibers >10µm ❑ Waste ❑ Drinking Other: <br />All Fiber Sizes ❑ Waste ❑ Drinking Q <br />❑ Check For Positive Stop — Clearly Identify Homogenous Group <br />Sample Description <br />r <br />m DTA <br />Received (Lab): ,,, -f.,A.,P..- <br />CommentslSpecial Instructions: <br />Samplers Signature: <br />C <br />Date: <br />Volume/Area (Air) <br />HA # ulk) <br />Total # of Samples: <br />1Z- iO- 0 <br />Oater'ime <br />Sampled <br />Time: "9 . LI 0 er-' <br />Time: <br />Cod oiled Document - AsOeelos CCC - R2-11122010 <br />Page 1 of _ f pages <br />