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Asbestos Cf oar if Custody <br />Ea <br />EMSL ANALYTICAL. INC. <br />Si OFdelr l uhbeff (Lab Use Only): <br />Company : Environmental Property Audits, inc. <br />Street: 2701 1-4 4th Avenue <br />City: Anoka I StatelProvince: MN <br />Report To (Name): Jiro Lindahl <br />Telephone #: 763-323-6700 <br />Project NamelNumber: <br />Please Provide Results: Fax J E <br />fY"'7r <br />Zip/Postal Cade: 55303 <br />Fax al: 763-323-6677 <br />1 Email Address: l' dahfj epaconsultants.com <br />Hell01/1e1 rS <br />EW11`SL At+.'TICAL, INC. <br />10375 3`'1Ail- NORTH <br />1 •'NEAPOLUS, MN 55447 <br />PHONE: (i 3)44`-'-2? <br />FM: (763) 449-A924 <br />ENISL-Bill to: M Same 0 Different <br />6r Bill to is Different note instnictions in Comments"" <br />Third Party Billing requires written authorization from third party <br />Country: USA <br />❑ 3 Hour (❑ 6 Hour f 0 24 Hour i❑ 3 Week ❑ 2 Week <br />ail Purchase Order: rU.S. State Samples Taken: <br />Tumaro Options* - Please Check <br />Hour 8 Ho ❑ 72 flour ❑ 96 <br />'For TEM Air 3 hr through 6 hr, please call ahead to scar ere is a premium charge for 3 Hour TEM AHERA or EPA eve111 TAT_ You wit be asked to sign <br />an authorization form for this service. Analysis completed in a..... 1,,,..., with EMSL's Terms and Conditions lacafed in the Analytical Price Guide_ <br />PCM - Air <br />- ❑ NIOSH 7400 <br />❑ wl OSHA 8hr. TWA <br />PLM - Bulk (renortina limit) <br />PLM EPA 600IR-931116 (<1%) <br />❑ PLM EPA NOB (<1%) <br />Point Count <br />❑ 400 (c0.25%a) 0 1000 (<0.1%) <br />Point Count wIGravirnetric <br />�] 400 (<0.25%) ❑ 1000 (<4.1 %n) <br />- ❑ NYS 198.1 (friable in NY) <br />❑ NYS 198.6 NOB (non -friable -NY) <br />❑ NIOSH 9002 (<1%d) <br />Samplers Name: <br />Sample # <br />Client Sample #d (s): <br />Relinquished (Client): <br />Received (Lab): <br />TEIY1- Air ❑ 4-4.5hr TAT (AHERA only) <br />❑ AHERA 40 CFR, Part 763 <br />❑ NI05H 7402 <br />[] EPA Level II <br />fij l50 10312 <br />TENT - Sulk <br />TEM EPA NOR <br />Ej 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 >10pm ❑ Waste ❑ Drinking <br />All Fiber Sizes 0 Waste 0 Drinking <br />TEM- Dust <br />❑ Moravec - ASTM D 5755 <br />❑ Wipe -ASTiMM D6480 <br />0 Carpet Sonication (EPA 6001.F-931167) <br />Soil!Roek/Verm i cut ite <br />❑ PLM GARB 435 - A (0.25% sensitivity) <br />PLM GARB 435 B (0.1%d sensitivity) <br />❑ TEM GARB 435 - B (0.1% sensitivity) <br />❑ TEM GARB 435 - C (0.01 % sensitivity) <br />0 EPA Protocol (Semi -Quantitative) <br />EPA Protocol (Quantitative) <br />Other: <br />❑ Check For Positive Stop — Cleverly Identify Homogenous Group <br />LindaII_ <br />Samplers Signature: <br />Volume/Area (Air) <br />Sample Description HA # (Sulk) <br />Fix lerior_thinigoodr <br />Comments(Special lnstru Lions: <br />Con -trailed Doauaen! - Astealas COC - R2 - 1/12/2010 <br />jc,, 4Date: 1 4 "-1 <br />//fo <br />Date: <br />Page 1 of , pages <br />Total # of Samples: <br />Date/Time <br />Sampled <br />1a -7 /c <br />