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Asbestos Cha�n (Df CustcdY 1375 '3�` Av-.-NOR--H <br /> r° EMSL Order �4umbelr (Lah Use Only): "'.-NEA'POL IS,MN 55447 <br /> PHONE: (T;�3')4Z ^:�r? <br /> EAUL Ah1ALV nCAL.Mr— FAx- (7 63)AL,Q-L-924 <br /> wunmca,.ertoaucta.iw�wa+u <br /> EMS[—Bill to:®Same ❑t]ifferent <br /> Company:Environmental ProWFtIt Aud-ds,Inc. it wi to is Dinerent sate inshac tians in Comments- <br /> Street:2704 N e Avenue Third pady I!qums written aufhorizafior:friaern third <br /> City: Anoka StatelProvinc+e:lel' ZiPostal Cotte:55303 USA <br /> Report To Tame): Jim undatd Fax# 763 23 77 - <br /> Telephone#. 763-323-6700 Emad Address: lindahli epacortsultanls.cam <br /> Project.Name/Number: Q - <br /> Please Pranride Results: t=ai7K ®Email Pun:hase Order. LI.S.State Sam les Taken: _ <br /> Turnaround Time A Pt Check <br /> ❑3 hour ❑6 Hour ❑24 Haur ❑48 How 2 Hour ❑ 96 Hour ❑ !Week ❑ 2 Week <br /> 'For TEAL Air 3 hr through 6 hr,please calf ahead M schemM.''fhem is a premi 3 Hour TEM AHERA or EPR Levet ft ART. You Ai he astced to sign <br /> an auffioryafion form for this sorvice s co in acwnjane with EMSL's Teras and Conditions fncated in the Rn l Price Guide. <br /> PCM-Air TELA-Air ❑4-#.Shr TAT(AHERA only) TEM-Dust <br /> ❑ NIOSH 7400 ❑ AHERA 40 CFR,Part 783 ❑Microvac-ASTM D 5755 <br /> ❑ wl OSHA 8hr.TWA ❑ NIOSH 7402 ❑Wipe-ASTM D8480 <br /> PLM-Sulk(reporting Itmitl ❑ EPA Level 11 ❑Carpet Sonication(EPA 600/J-93/167) <br /> PLM EPA 600)R-93/116(<1%) ❑ ISO 10392 SoillRockMermiculite <br /> PLM EPA NOB(0%) TEM-Bulk ❑PLM CARB 435-A(0.25%sensitivity) <br /> Paint Count ❑TEM EPA NOB F] PLM CARB 435-B(0.1%sensitivity) <br /> ❑400(<0.25%)❑ 1000(<0.1%) F1NYS NOB 998.4(non-fiahle-NY) [jTEM CARB 435-B(0.1%sensitivity) <br /> Point Count wlGravimetric ❑Chatfield SOP ❑TEM CARB 435-C(0.01%sensitivity) <br /> ❑400(<0.25%)❑ 1000(<0.1%) ❑TEM Mass Analysis-EPA 600 sec.2.5 ❑EPA Protocol(Semi-Quantitative) <br /> ❑ NYS 198.1 (friable in NY) TEllfl-Water:EPA 100.2 ❑EPA Protocol(Quantitative) <br /> ❑ NYS 198.6 NOB(non-friable-NY) Fitters>10prn []Waste ❑ Drinking L3tliler: <br /> NIOSH 9002(<IINL All Fiber Sizes ❑Waste ❑Drinking ❑ <br /> Cheek For positive SLOP--Clearly Me nitify Homogenou roup <br /> Samplers Name: LVAOSamplers Signa <br /> �olunie/Area(Air) 172te1Time <br /> Sample# Sam le Desai •on KA# Bulk) Sam led <br /> Client yarn le#(s): — - <br /> Total of Sara tes- <br /> Reiinquished(Client): „��. �f Date: - �-� �Q l Z Tame: ' <br /> Received JI-ab): <br /> f f Time: o <br /> CommentstSpe nstructions: <br /> €omrarred oca mf-Asbestos cat-R2-srsana10 Page 1 of--I—pages <br />