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sbiestc Cal An o? Custody <br />Ei 1SL Order Number (Lab Use Only): <br />E►NSL ANALYTICAL. nYC. <br />LAS NATCRI.11cfUCT3.WRA o <br />Company : Environmental Pro. c Audits, Inc. <br />Street: 2701 N 411' Avenue <br />City: Anoka <br />Report To (Name): Jim Lindahl <br />763c\ <br />State/Province: MN <br />EMSL Ah . '. Y7-1CAL, INC. <br />10375 -3`1 A'- NORTH <br />•:17%14EAPous, MN 55447 <br />PHONE: (1: 3)) 4 (1-i^2? <br />FAx' (763) 4E9-z924 <br />EMSL-Bill to: ® Same 0 Different <br />if Bill to is Different note instructions in Comments" <br />Third Party Billing requires written auUronzahon from third panty <br />ZiplPostal Code: 55 _ t Count: USA <br />Fax #: 763-323-6677 <br />Telephone #: 763-323-6700 /� / <br />Project NamelNumber: 1 a- O i cP <br />Please Provide Results: ❑ Fax ail Purchase Order: <br />Email Address: 1' dahl' consultants.com <br />tin <br />U.S. State Samples Taken: fy\ I" <br />Turnarou Options* — Please Check <br />0 3 Hour El 6 Hour ❑ 24Hour' , H • D 72 Hour [p . 96 Hour ❑ 1 Week ❑ 2 Week <br />"For TEM Air 3 hr through 6 hr, please call ahead to soh - . is a premium charge for 3 Hour TEM AHERA or EPA Level l II TAT. You will be asked to sign <br />an authorization foam for this service. Anaysis completed in accordance with EXISL's Terms and Conddtinns located in the Analytical Price Guide_ <br />PCM - Air . TEM — Air ❑ 4-4.5hr TAT (AHERA only) TEM- Dust <br />❑ NIOSH 7400 [] AHERA 40 CFR, Part 763 0 Moravec - ASTM D 5755 <br />❑ wl OSHA 8hr. TWA ❑ NIOSH 7402 0 Wipe - ASTM D6480 <br />PLM - Bulk (reporting limit) El EPA Level II ❑ Carpet Sonication (EPA 600M--931167) <br />PLM EPA 600/R-931116 (<1%) ' \`N ❑ ISO 10312 SoillRockNNerrniculite <br />❑ PLM EPA NOB (<1%) �E TEM - Bulk 0 PLM GARB 435 A (0,25% sensitivity) <br />Point Count \ 0 TEM EPA NOB 0 PLM GARB 435 - B (0.1%m sensitivity) <br />❑ 400 (<0.25%) 0 1000 (<0.1 %) ❑ NYS NOB 198.4 (non -friable -NY) 0 TEM GARB 435 - B (0.1% sensitivity) <br />Point Gaunt w/Gravirnetric ❑ Chatfield SOP 0 TEM GARB 435 - C (0.01 % sensitivity) <br />❑ 400 (<0.25%) 0 1000 (<0.1 %) 0 TEM Mass Analysis -EPA 600 sec. 2.5 0 EPA Protocol (Semi -Quantitative) <br />[jj NYS 198.1 (friable in NY) TEM -Water: EPA 100.2 ❑ EPA Protocol (Quantitative) <br />❑ NYS 198.6 NOB (non -friable -NY) Fibers >10.irn Q Waste D Drinking Other: <br />❑ NIOSH 9002 (<1 %) All Fiber Sizes [j Waste ❑ Drinking <br />Samplers Name: <br />Sample #[ <br />❑ Check For Positive Stop — Cl+r:9dy Horn <br />LA‘,/vii,A1 <br />Samplers Signature: <br />Sample Description <br />El <br />enous Group <br />X `nip dam ray <br />Client Sample # (s): <br />Relinquished (Client): <br />J <br />/3l <br />Tit <br />Date: <br />ter / <br />Received (Lab): Date: 1 c {' Q <br />Comments/Special Instructions: <br />Volume/Area (Air) <br />HA # (Bulk) <br />Date/Time <br />Sampled <br />I;,-7 /c <br />Total # of Samples: J <br />Tame; (t <br />Time: - '4. ) t% <br />Controlled Cocunent Asbestos COC — n2 — I/1212010 <br />Page 1 of ! pages <br />