Laserfiche WebLink
EMSL ANALYTJCAL.:NC. <br />n.Asoxa vcrr.mooucrn..HAwn c <br />Company : Environmental Propert <br />Street: 2701 AJ 4th Avenue <br />City: Anoka <br />Rap rtTo (Name): Jim Lindahi <br />Telephone 0: 763-323-6700 <br />Project Name/Number: lcj,' j 2j <br />Please Provide Results: ❑ Fai <br />❑ 3 Hour ! ❑ 6 Hour <br />For TEM Air 3 hr through 6 hr, please call ahead to schedule,*There is a premium <br />an authorization rum for this service_ Analysis ion+pleted in accordance with EMSL's Terms and Conditions located in the Analytical Price Guide. <br />Ash <br />E <br />stos Chihi of Custody <br />SL Ord it Number _(Lab Use Only): <br />ei5ss <br />Audits, Inc. <br />State/Province: MN <br />EWSL Ah."INC. <br />11'375 '3R Av- NORTH <br />A--INEAPOLIS, MN 55447 <br />PHONE: (i > 3) '%02') <br />Flue: (763) 44. --924 <br />EiyiSl -tail$ to: Same ❑ Different <br />If Bill to is Different note instuctians in comments" <br />Third Party Billing requires wniten authonzalian from third party <br />Zip/Postal Code: 5 303 I Country: USA <br />Rug: 763-323-6677 <br />Email Address:: llndtaahlj epaconsult,arits.com <br />U.S. State Samples Taken: (il, N <br />Email 1 Purchase Order: <br />Turnaround Time (TAT) 0 <br />I❑24Hour I ❑48Hour <br />PCM - Air <br />NIOSH 7400 <br />❑ wl OSHA 8hr. TWA <br />PLM - Bulk (reporting Iimitl <br />[4 PLM EPA 600)R-931116 (<1 %) <br />D PLM EPA NOB (<1 %) <br />Point Count <br />D 400 (<0.25%) ❑ 1000 (<0.1 %) <br />Point Count w/Gravimetric <br />❑ 400 (<0.255%) ❑ 100o (<0.1 %) <br />❑ NYS 198.1 (friable in NY) <br />❑ NYS 198.E NOB (non -friable -NY)• <br />❑ N}OSH 9002 (<1 %) <br />Samplers Name: <br />Sample <br />Id-01516 <br />ores*`-114ease Check <br />72 Hour d ❑ 96 Hour I ❑ 1 Week ❑ 2 Week <br />ur TEM AHEPA or EPA Level II TAT. You will tre asked to sign <br />TEM — Air ❑ 4-4.5hr TAT (AHEM only) <br />❑ AHERA 40 CFR, Part 763 <br />• NIOSH 7402 <br />❑ EPA Level ll <br />❑ ISO 10312 <br />TEM - Bulk <br />❑TEM EPA NOB <br />❑ NYS NOB 198.4 (non -friable -NY) <br />❑ Chatfield SOP <br />0 TEM Mass Analysis -EPA 600 sec. 2.5 <br />TEM — Water: EPA 100,2 <br />Fibers >10pm ❑ Waste ❑ Drinking <br />TEM- Dust <br />❑ Microvac - ASTM O 5755 <br />❑ Wipe - ASTM D6480 <br />LI Carpet Sonication (EPA 600/J-93/167) <br />Soi91RocklVe rm iculite <br />❑ PLM GARB 435 - A (0.25% sensitivity) <br />o PLM CARB 435 - B (0.1% sensitivity) <br />❑ TEM CARB 435 - B (0.1 % sensitivity) <br />❑ TEM CARB 435 - C (0.01% sensitivity) <br />❑ EPA Protocol (Semi -Quantitative) <br />❑ EPA Protocol (Quantitative) <br />Other: <br />All Fiber Sizes ❑ Waste ❑ Drinking [] <br />Check For Positive Stop -- Clearly identufy HonlogenozzS <br />/JyyleA <br />Sample Description <br />& I. ('nt, y i l rkinikr- <br />6- - jct [ i 12 e �'` i , <br />e)y 1 f <br />&7 krym <br />Lf „ Pate_ l 16,11 <br />Client sample # (s): _ <br />Relinquished (Client): a <br />Received (Lab): <br />Comments/Special Instructions: <br />I <br />i <br />Samplers Signatu <br />olumeIArea (Air) <br />HA # (Bulk) <br />C6Vin1, <br />ixifife <br />iDixiurP <br />Date: <br />Date: a <br />Ilkl <br />g 217 Total # of Saints: _r <br />T roe: s <br />"U 7-& <br />Date/Time <br />Sampled <br />Caa ailed Oaamenl — lAsilE510F COG — R2 <br />/1Z201.11 <br />Page 1 of <br />pages <br />