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Asbestos CrChakt Custody <br />E <br />EMSL ANALYTICAL. MC. <br />V uaam ,.3R en.ir. na <br />I .1 <br />SL t rd©lr Number (Lab Use Only): <br />Company : Environmental Property Audits, Inc. <br />Street: 2701 N 4th Avenue <br />City: Anoka <br />Report To (Name): Jim Lindahl <br />Telephone #: 763-323-6708 <br />Project Nanrielli umber: J 54 <br />Please Provide Results: -0 Fax <br />I557 <br />StatelProvince: MN <br />et L' <br />EWWWSL M.-.riCAL, INC. <br />12375 '3 Avr- NOR-3-1 <br />,.' EAPOLIS, MN 55447 <br />PHONE: (r =:3) 4 7-c.^ ,2 <br />FAX: (763) 442.-i 924 <br />BASIL -Bill to:--. <br />Same <br />D fliffererrt <br />It Hlii to is Diffiment Note insinixtons in Comments" <br />Third Party Billing inquires writieni auttorization frwu third party <br />7.ipflPostal Code: 55Country: USA <br />Fax #: 763-323-6677 <br />—Erna Address: lindaldiespaconsultants.com <br />Email 1 Purchase Order: U.S. State Samples Taken: lfljJ <br />Turnaro Time (TAT)- Pt Check <br />❑ 3 Dour ❑ 6 Hour I El24 Hour f 0 48 Hour Hour ❑ 96 Hour )1 Li Week ❑ 2 Week <br />'For TEM Air 3 hr thmugh 6 hr, please call ahead to schedule,. *There is a preen t., r 1I4.. ; . J 3 ur TEM AHERA or EPA Level ll TAT. You will he asked to sign <br />an authorization form for this service. Analysis pornoleted in : wash EMSL s Terms and Conditions located in the Analytical Price Guide. <br />PCAI - Air <br />❑ MIOSH 7400 <br />❑ wl OSHA 8hr. TWA <br />PLM - Bulk lreportina limit) <br />PLM EPA 600)R-931116 (<1 %) <br />PLM EPA NOB (<1%) <br />i Point Count <br />O 400 (<0.25%) ❑ 1000 (<0,1 %) <br />Point Count wlGravimetric <br />❑ 400 (<0.25%) ❑ 1000 (<0,1%) <br />❑ NYS 198.1 (friable in NY) <br />❑ NYS 198.6 NOB (non -friable -NY) <br />❑ NIOSH 9002 (<1 %) <br />VVE Samplers Name: <br />Sample # <br />(9 016C06� L/ G `t; r'i mee -t r)Orn <br />TEM - Air ❑ 4-4.5hr TAT (AHERA only) <br />❑ AHERA 40 CFR, Part 763 <br />❑ {NOSH 7402 <br />❑ EPA Level II <br />❑ ISO 10312 <br />TEM - Bulk <br />El TEM EPA NOB <br />D NYS NOB 198.4 (non -friable -NY) <br />❑ Chatfield SOP <br />TEM Mass Analysis -EPA 600 sec. 2.5 <br />TEM - Water: EPA 100,2 <br />Fibers -10Iim Waste ❑ Drinking <br />A11 Fiber Sizes ❑ Waste ❑ Drinking <br />Client Sample # (s): <br />Relinquished (Client): <br />Received (Lab): <br />0ommentstape rtsiruciions: <br />Samplers <br />Sample Description <br />rnel 64()-0 <br />Total # of Samples: - - - <br />1i3alte: I/ - - O 1 Time: CS' .pri <br />Date: ( f r- - — — — - Time: C5 : 01-C3 <br />TEM- Dust <br />Microvac - ASTM 0 5755 <br />❑ Wipe - ASTM 06480 <br />❑ Carpet Sonication (EPA 600/J-931167) <br />Soil/RockAfermiculite <br />El PLM GARB 435 - A (0.25% sensitivity) <br />❑ PLM CARB 435 - B (0.1 % sensitivity) <br />❑ TEM GARB 435 - B (0.1 % sensitivity) <br />❑ TEM GARB 435 - C (0.01 % sensitivity) <br />❑ EPA Protocol (Semi -Quantitative) <br />❑ EPA Protocol (Quantitative) <br />Other <br />❑ <br />Check For Positive Stoic - CQearl'iy identiffy Horraoglerou group <br />Signatr <br />VolunieIArea (Air) <br />HA # (Bulk) <br />DatelTime <br />Sampled <br />r -o) -1, J <br />CD rot Rd Ocrumenl - Asbestos CDC - R2 - 1J1212410 <br />Page 1 of 111 pages <br />