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ERABL ANVALrnCAL <br />uaeonnroe.•.aaneucre..e,umaa <br />Company : Environmenta <br />Street: 2701 N 4th Avenue <br />Asbestos ChaAn of Custody <br />EMSL S© Number (Lab Use Only): <br />-7 5s� <br />Property Audits, Inc. <br />City: Anoka <br />Report To (Name): Jim Lindahl <br />Telephone #: 763-323-6700 <br />Project Name/Number: <br />Please Provide Results: ■ F <br />Lj <br />❑ 3Hour <br />j ❑ 6 HoHour <br />State/Province:MN <br />EWVVSL AIw. •.`r1CAL, INC. <br />1�375 '3R` Ayr NOR-9-1 <br />,. !NEAPOLIS, MN 55447 <br />PHONE: t i =73) 41 '4 `_`n? <br />FAH_ (763) 4z -L924 <br />E VlSL-Sill to: ® Same Q Different <br />I[ Dili to is gent note ins rurkuns in Comments" <br />Third Party Billing requites written aufhorizsatt+on from Third <br />bp/Postal Code: 55303 Cou : USA <br />Fax #: 7633-3234677 <br />Email Address: lindahlj@epecofsultarsts.com <br />Email Purchase Order. <br />US. State Samples Taken: <br />itud <br />Pi x r : Check <br />❑ 24 Hour I ❑ 48 Hour ► '72 Hour ❑ 96 Hour I ®1 Week I © 2 Week <br />Turnaround Time (TAT) 0 <br />'For TEM Air 3 hrthrough 6 hr, please call ahead to schedule *Then is a piano 3 Hour TEM AHERA or EPA Level II TAT. You will he asked to sign <br />ar+ authorization firm fir this servi <br />rPCM - Air <br />❑ NIOSH 7400 <br />❑ w1 OSHA 8hr. TWA <br />ce. <br />Analysis completed in accordance with E MSL's Terms and Conditlons located in the Aria ir. I Rice Guide. <br />TEM — Air D 4-4.5hr TAT (AHERA only) <br />D AHERA 40 CFR, Part 763 <br />❑ NIOSH 7402 <br />❑ EPA Level 11 <br />❑ ISO 10312 <br />TEAR. - Bulk <br />Q TEM EPA NOB <br />Q NYS NOB 198.4 (non -friable -NY) <br />❑ Chatfield SOP <br />❑ TEM Mass Analysis -EPA 600 sec. 2.5 <br />TEA] —Water: EPA 100.2 <br />Fibers >10pm ❑ Waste 0 Drinking <br />All Fiber Sizes ❑ Waste 0 Drinking <br />PLM - Bulk (reporting limit) <br />PLM EPA 6001R-931116 (<1%) <br />PLM EPA NOB (<1%) <br />Point Count <br />❑ 400 (<0.25%) ❑ 1000 (<0.1%) <br />Point Count w/Gravimetric <br />❑ 400 (<0.25%) ❑ 1000 (<0.1%) <br />D NYS 198.1 (friable in NY) <br />❑ NYS 198.6 NOB (non -friable -NY) <br />• NIOSH 9002 (<1%) <br />fi Choc <br />Samplers name: <br />Sample # <br />Client Sample # (s): <br />Relinquished (Client): <br />Received (Lab): <br />Com mentslSpe''ns'iauctiofs: <br />TEM- Dust <br />❑ Microvac - ASTM 0 5755 <br />D Wipe - ASTM 06480 <br />❑ Carpet Sonication (EPA 6001J-931167) <br />S oillRocklVermiculite <br />E] PLM GARB 435 - A (0.25% sensitivity) <br />0 PLM GARB 435 - B (0.1 % sensitivity) <br />❑ TEM GARB 435 - B (0.1 % sensitivity) <br />❑ TEM GARB 435 - C (0.01 % sensitivity) <br />❑ EPA Protocol (Semi -Quantitative) <br />❑ EPA Protocol (Quantitative) _ <br />Other: <br />For Posstide Stop - Meanly lldentity Horrnaogenou <br />Samplers Signs <br />PR <br />Sample Description <br />, I -Date: 1 j — Z Go <br />Date: (( <br />roue <br />Volume/Area (Air) <br />HA # (Bulk) <br />Total#ofSam 'les: <br />DatelTime <br />Sampled <br />Time; vp ea if <br />Time: 0 4n <br />Conuorred ©v nm - Asbestos COG - R2 - vti2e20+0 <br />Page 1 of \ pages <br />