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NVL Laboratories, Inc. <br />� 4706 Aurora Ave. N., Seattle, WA 98103 <br />7'el: 206.547.0100, Emerg.Pgr: 206.31q.1878 <br />1.888.[Wi..LARS (5fi5.577T � <br />Client <br />Address <br />Project Manager <br />ProjeM l.otalion <br />CHAIN of CUSTODV <br />SAMPLE LOG <br />NVL Rakh Number9 - O(�-�����/ <br />G- " D� �CS ClientlobNumtmr �� �d� �s-� <br />��Jo1-� �-rJ�� j��G.cQ_S� TotalSamples 0��7 b►ga> <br />5��,.w.,,.;s�, wA °� �°7S �' '3 <br />"Type ofAnalysis (ch on <br />� �� G� l�� r ASBESTOS LEAD (Pb) <br />F u-�t��� � S 5 I u PCM(aid ❑PaintChips <br />❑ <br />Phone Number y Z s- 3 9 �_� g r y <br />� Fu Nunibet y Z5 _� 3'� - 0 7 S� <br />� cell �7 <br />P�lFNumber y Z� - 3 S � '- � 9(o ( <F[+`��� <br />I . / <br />CondiNan af Package: <br />i <br />z <br />3 <br />4 <br />5 <br />6 <br />� <br />8 <br />9 <br />io <br />use only <br />�/3/ <br />�i3a <br />�133 <br />��%S <br />ai3.� <br />ar3� <br />Clients Sample # <br />� — � — � <br />�ey. a <br />ii <br />iz <br />13 <br />19 <br />i5 <br />]6 <br />i� <br />78 <br />19 <br />zo <br />� PCM(bu1W <br />OTFIER, <br />�v«Jy <br />� 1- Hr <br />❑ 24 - Hrs <br />usronly <br />�. <br />$Ol� <br />❑ Diest/wipe <br />❑Air <br />❑ rccn <br />❑ iNaste Water <br />' (check one) <br />�2-Hrs ❑4-His <br />❑48-Hrs �3to5day: <br />Cliente Sample # <br />� — �— � <br />t-R--1 <br />�-5-z <br />— Io—I <br />1—"��—) <br />( — I I — ;L <br />� - �Z -I <br />� -i3-I <br />— �� —Z <br />1—��t-1 <br />PECIAL INSTRUCTIONS: � e a�1 ��1� <br />I �ia�ci al� SA^",���5 � cia v.b� c�;s�j.vSe w.�:� �- <br />�-1-.o�;es (;,,. w�:�;�5� <br />'Unless reqursted in writing, al( samples vi4 be disposed trcro Q) weeks nfter anatysis. ioe <br />( <br />