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gb9stas Chaos of Custody EM13L M.''Y-10AL1 INC <br /> 1A375 '3!" AV' NORTH <br /> s` ENSL Order NMmbeT(Lab Use Only): '%'NEAPOLIS, MN 55447 <br /> PHONE: i�:3 4<'�'-d.n+7`i <br /> /(/-err y d,: (��1 <br /> EMSL ANALYTICAL.INC. Fax (i 63)44-� —92 f <br /> waowiroin:woaucis.rwwio <br /> = EkWSLA3ill to: Same ❑ different <br /> Com n :Environmental Propqq Audits,Inc. if 1361 to is DilFerent note a►stra ws in Comments`* <br /> Street:2701 N 0 Avenue lbrd party Ming wqtwes written auOanzafron tram third PaO <br /> _ <br /> City: Anoka StatelProvince:MN Zip/Postal Cede:55M Country:USA - <br /> Report To(Name): Jim 1l.indahi Fax#• 763-323-6677 <br /> Telephone#: 763-323-5700 Email Address; I' dales' consuftants.com - <br /> Project Mamellirlumber: p�— � t YYl <br /> Please Provide Results: ❑ Fax ® it Purchase Order: U-s.State Samples Taken: <br /> Tumarou Options"—Please Check <br /> ❑3 Hour ❑6 Hour. ❑24 Hour H ❑ 72 Hour ❑ 56 Hour ❑ 1 1�leelc ❑ 2 ylteek <br /> 'Ear TEN}Air 3 hr throagh 6 hr,please call ahead to sch is a premium charge for 3 Hour TEM AHERA or EPA Levet 11 TAT. Yvu will be asked io sign <br /> an authon2attan farm for this service. Anal ms com tete-in accordance with EMSL's Terms and Condtions located in the Price Guide- <br /> PCM-Air TEM—Air ❑4-4.5hr TAT(AHERA only) TEM-Dust <br /> El NIOSH 7400 ❑ AHERA 40 CFR,Part 763 ❑Microvac-ASTM D 5755 <br /> ❑ wl OSHA 8hr.TWA ❑ NIOSH 7402 []Wipe-ASM D6480 <br /> PLM-Bulk re ortin limit l/ N ❑ EPA Level 11 ❑Carpet Sonication(EPA 6001J-93/167) <br /> PLM EPA 6001R-931116(<1OX) \'` ❑ ISO 10312 Soi1111oclsJNernticulite <br /> ❑PLM EPA NOB(<1%} '�1 TIEM-Bulk ❑ PLM GARB 435-A(0.25%sensitivity) <br /> �� <br /> Point Count ❑TEM EPA NOB ❑ PLM GARB 435- B(0.1%sensitivity) <br /> ❑400(<0.25%)❑ 1000(<0.1'%) ❑ NYS NOB 198.4(non-friable-NY) ❑TEM CARE 435- B(0.1%sensitivity) <br /> Point Count wfGravimetric ❑Chatfield SOP ❑TEM CARE 435-C (0.01%sensitivity) <br /> ❑400(<0.25%)❑ 1000(<0.l%) ❑TEM Mass Analysis-EPA 600 sec.2.5 ❑ EPA Protocol(Semi-Quantitative) <br /> ❑ M'S 198.1 (friable in NY) TEM—Water: EPA 100.2 ❑ EPA Protocol(Quantitative) <br /> ❑ NYS 198.6 NOB(non-friable-NY) Fibers,l0pm ❑Waste ❑ Drinking mer: <br /> ❑ NIOSH 9002 c1%a All Fitter Sizes ❑Waste ❑Chinking ❑ <br /> ❑Check For Posifive StOP—Cieerly Idenitiffy Homogenous GroiUP <br /> rrnplersaName: ` ��� samplers Signature: <br /> Volume/Area(Air) Date/Time <br /> Sample# Sample Description HA#(Bulk) Sampled <br /> -/C? <br /> Clientsample#his Tobi#of Samples: <br /> Relinquished(Client): 04 DV-- Date: Time: V0 <br /> Received(LaDate: / �' Time: <br /> Coni mentslspecia I Instructions: <br /> Cor&oI[M aoa mad-AabWa COO,-972-1112nOl0 Page 1 of_____pages <br />