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Asbestos Chaki of Custody <br />EMSL. Order Number (Lab Use Only): <br />EMSL ANALYTICAL, INC. <br />ANAL v " • I .. <br />47 .-'F%:. <br />INNEA 011.' 5544.' <br />PHON:. (7~ ] '^- <br />FAX: f7f:Tr: )44 is <br />Additional Pages of the Chain of Custody are only necessary if needed for additional sample information <br />Volamelprea (Air) <br />Sample Description HA # (Bulk) <br />1n : T [,i (.2) , P R " <br />6corytim.lid <br />PrQ 02/Li relit /Tic ii ' urea <br />t2r11 <br />I 'I r,) E a-i'-II ct1r L <br />1`) i' : caulk "yv') <br />•J � <br />L�-1 • (jho(A) i i i <br />6.-/ Hene, .�.� �t c tack - Jv <br />►� <br />6-17 t .r Q.J111 e PP <br />6-0 K n sL <br />0- Sek_tkor kneni y_03, ourphololifatte <br />e2rd/ Ljiri S jo r f , irn <br />(1,e4 y r" F f �! !; 5t ti 1 <br />COI ` __. Tore ,iir .frigqi W41/41/1/tiejhh-e< nej,42.1 _ \/ <br />*Comments/Special Instructions: <br />P ;Nc_ <br />1 53 °vj (- gi4, <br />Page c9 of ] pages <br />Dateftime <br />Sampled <br />iII— 1-12 <br />Canlrulled Document - Asbesig1 COC - R2 - 1712201a <br />