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3 <br /> OrderID: 351607999 Asbestos Vnaln of Custody EMSL ANALYTICAL, INC. <br /> EMSL Order Number(Lab Use Only): 200 ROUTE 130 NORTH <br /> CINNAMINSON, NJ 08077 <br /> EMSL L,INC PHONE: (800)220-3675 <br /> ANALYTICA <br /> wew.roer-r�eooucT�-,.�,+.+e FAX: (856)786-5974 <br /> Company Name:Braun:Intertec Corporation EMSL Customer ID: <br /> Street: 11001 Hampshiro Avenue South City: Bloomington State/Province: MN <br /> Zi !Postal Code: 55438 Count : USA Tele hone#: 952,995.2424 Fax#: 952.995.2020 <br /> Report To(Name : Rob rt Nordby&Eric Bieniek Please Provide Results: ❑ Fax ® Email <br /> Email Address: RNordb 1 EBieniek braunintertec.com Purchase Order: <br /> Pro'ect Name/Number: G- -Ti? 1616 10 3--3Z ov EMSL Project ID Internal Use On! <br /> S. State Samples Taken: Minnesota I CT Samples: ❑ Commercialffaxable ❑ Residential/Tax Exempt <br /> EMSL-Bill t0: ❑ Same ® Different-tf Bi11 to is twerent note Instnrcttans in Camments" <br /> Third Party Billing requires written authorization from third party <br /> Turnaround Time TATO ase Check <br /> 3 Hour El6 Hour ❑ 24 Hour ❑4$ Hour a ❑ 96 Hour 10 1 Week ❑ 2 Week <br /> 'For TEM Air 3 hr through 6 hr,please call ahead to schedule'There is a premium 3 Hour TEM AHERA or EPA Level 11 TAT. You witi be asked to sign <br /> an authorization form for this service. Analysis corn feted in accordance with EMSL's Terms and Conditions located in the Anal ical Price Guide <br /> PCM-Air ❑Check if samples are from NY TEM—Air C]4-4.5hr TAT("ERA only) TEM-Dust <br /> ❑ NIOSH 7400 ❑ AHERA 40 CFR, Part 763 ❑ Microvac-ASTM D 5755 <br /> ❑ w/OSHA 8hr.TWA ❑ NIOSH 7402 ❑Wipe-ASTM D6480 <br /> PLM-Bulk(reporting limit ❑ EPA Level II ❑ Carpet Sonication(EPA 600/0-93/167) <br /> ® PLM EPA 600/R-93/116(<1%) ❑ ISO 10312 Soil/Rock/Vermiculite` <br /> ❑ PLM EPA NOB(<J%) TEM-Bulk ElPLM CARB 435-A(0.25%sensitivity) <br /> Point Count ❑TEM EPA NOB ❑ PLM CARB 435-B(0.1 To sensitivity) <br /> ❑400(<0.25%)❑ 1000(<O.1%) ❑ NYS NOB 198.4(non-friable-NY) ❑TEM CARE 435-B(0.1%sensitivity) <br /> Point Count w/Gravimetric ❑ Chatfield SOP ❑TEM CARE 435-C(0.01%sensitivity) <br /> 400(<0.25%)❑ 1000(<0.1%) ❑TEM Mass Analysis-EPA 600 sec.2.5 ❑TEM Qual. via Filtration Technique <br /> NYS 198.1 (friable in NY) TEM—Water: EPA 100.2 ❑TEM Qual.via Drop-Mount Technique <br /> 'Can not accept New York State Loose Fill vermiculite sampies <br /> A ] NYS 198.6 NOH(non-friable-NY) Fibers>10pm ❑Waste ❑ Drinking Other: <br /> ] NYS 198.8 SOF-V ® Point Count(400-non-grav)if<1%. <br /> ° All Fiber Sizes El Waste E] Drinking Do not point count if None Detected. <br /> NIOSH 9002(<I%) <br /> Check For Positive Stop—Clearly Identify Homogenous Group Filter Pore Size Air Samples): ❑ 0.8Nm ❑0.45pm <br /> Samplers Name: Eric Bieniek Samplers Signature: <br /> s;Votgfne/Area(Air) DatelTime <br />! Sample# Sample Descri tionHA#(Bulk) Sampled <br /> �t /%( /'Z0(41 <br /> See Attached "Table ll" <br /> tient Sample#(s): L - 'Z Total#of Samples: 'z <br /> Relinquished(Client): ~_� - Date: 1 II /Z.-(& Time: C.(: `>U r-" <br /> C � <br /> Received(Lab): Date: Time: <br /> Comments/Special I stru ions: Okay to send to other EMSL to ns.PoTht count up to 5 samples; if>5 samples<1°/a,call <br /> for approval.Invoice. braunintertec.com)-same address. <br /> Z <br /> Cildolled Dvc erR-A,Wom COC-RA-1°ri012014 <br />