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Asbestos CSI n of Custody EM AN,-.Y'1GAL,INC. <br /> dk. , EMS . Order Numbeir(Lab Use Cully): 1�375 `3`�'Avg NORTHa."-NEAPOUS.MN 55447 <br /> )s PHo ( "3)4z-%4'1 9 <br /> ErML , �� FAx. (763444924 <br /> 7t,94!6Li6iEPR4�11c63olHR <br /> _ ll�c7r. t�rerrt <br /> Com .Envir mil No AWNS,IM. It 8111 to is MaUd note U%kUCffM in OMm <br /> Street 2701 N e Avemm 7bffd B aY&M=Uw&= <br /> -City: Anoka WwWnce:Mq ZlpiftsW Godw. a ,USA <br /> Re ort To(Name): Jim Lire Fax#: 763-323.6677 <br /> Telephone M 763-323-67M >E,awd . lin nt»cot <br /> Project Name/Number <br /> Please Provide Results. [I Rix- 0 FillI 13m cfise oraea: 11.3.State Samples Taken: <br /> Tomaround Two A o errs*- Check <br /> ❑3 Hour I Q.24.,How I ❑48 Hour I fq 72 Hour ❑ 96 Hour I [❑1 Wiik ❑ 2 Week <br /> 'For TEM Ami hr thraugh 6 hr,please calf to schedula'Thm is a premuum ur TEM AHFRA ar EPA Levet H TAT Yore wM ` <br /> an authorization form for Mks sem in a=wdanve W-M EAI&'s Terms and CondUbm located ay the AmdyUcaf Parke <br /> Guida- <br /> PCM-Air TEMA--Air ❑4-4.5hr TAT(AHERA only) TEM-Bust <br /> ❑ NIOSH 7400 ❑ AHERA 40 CFR,Part 763 ❑Microvac-ASTM p 5755 <br /> El w/OSHA 8hr.TWA ❑ NIOSH 7402 ❑Wipe-ASTM <br /> PLM-Bulk(reporting limM ❑ EPA Level 11 ❑Carpet Sonication(EISA 600/J-93tl 7) <br /> j PLM EPA 600IR-93/116(<1%) ❑ ISO 10312 SoNRocklVermicdite <br /> ❑PLM EPA NOB(<1%) TEM-Bulk ❑ PLM CARS 435-A(025%sensitivity) <br /> Point Count ❑TEM EPA NOB ❑PLM CARR 436-B(0.1%sensitivity) <br /> 400(<0.25%)❑1000(<0.1%) ❑NYS NOB 158.4(non-fraable-NY) ❑TEM GARB 435-B(0.1%sensitivity) <br /> Point Count wlGravimetric ❑Chatfield SOP ❑TEM CAR13 435-C(0.01%sensitivity) <br /> 400(<025%)❑ 1000(<0.1%) ❑TEM Mass Analysis-EPA 600 sec.2.5 ❑EPA Protocol(Semi-Quantitative) <br /> ❑ NYS 198.1 (friable in NY) TEM-Water.EPA 100.2 ®EPA Protocol(Quantitative) <br /> ❑ NYS 198.6 NOB(non-friaFibers y10pm [:]Waste F1Drinking 6i er: <br /> El NIOSH 9 <1% All Fier Sizes [:]Waste El Drinking El <br /> bl7Checks For ftufave Step W Cleady Identify Homogenous G Up <br /> Samplers Name_, ` ! Samplers Signa �r <br /> VolumelArea(Air) Datelfirne <br /> Sample# tripleDescription Sampled <br /> 7_0/L `'11) <br /> e <br /> 4 <br /> eel litm -kWure L/ <br /> t ' 1 <br /> —� --"-.. <br /> k <br /> Client Sample s : - s t __, Total#®6 S n l <br /> Relinquished(Client): L`:.- c � lite: �r�- � G, Time. <br /> Received(Lab)- = <br /> CommentsiSpecial I <br /> sanWlled nc gd-A%buloscoc— to ora Page 1 of pages <br />