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1600 MADISON ST 2016-01-01 MF Import
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1600 MADISON ST 2016-01-01 MF Import
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Last modified
4/12/2017 11:00:36 AM
Creation date
2/17/2017 9:51:17 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
1600
Imported From Microfiche
Yes
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NVL Laboratories, Inc. CHA1N of CUSTODY 7G 17 <br />I d708 Aurora Ave. Iv., Seattle, Wq 98103 SAMPLE LOG 1\' L <br />Tel: 206.597.0100, Emerg.Pgr: 206.344.1878 <br />1 888 NVL LqgS (665 5227) <br />N <br />Client <br />Address <br />Project Manager <br />Project Location <br />N V L Batch Number 9-(,U_ / <br />G— "_D� �CS ClientJobNumber �� �d� OS—� <br />►3ai �-5������¢S� <br />Total Samples � � <br />S�,�,. w,,,� : St� w A°� �° 7S <br />'Type ofAna/ysis (check one) <br />� c..� ��� l� c,� ASBESTOS LEAD (Pb) <br />� u� t—�,� d' G S .J.r ❑ PCM(a'sr) ❑ Paint Chips <br />❑$ � <br />Phone �fumber y z s- 3 9 I- G 8 7�f <br />FaxNumber y-ys_ �3�'- 0'75� <br />t.ell \ <br />�efNumber y Z� — 3 S � — b�} (n I ��p.� j <br />i� <br />CondiNon af Package: <br />Good � Dama ei <br />(ab use onfy <br />� .� rabrD <br />1 2cv�ra�5-`� <br />Z ars� <br />s ��� <br />4 ��6� <br />5 �/6� <br />�1b3 <br />�/6¢ <br />Clients Sample # <br />2— 1 — I <br />2- - �-- � <br />a-�-2- <br />a-3-� <br />�—�l —I <br />o�— S�) <br />� - f� - I <br />a— 6—a- <br />a—� 3 <br />a--r-�� <br />eq.M <br />�� <br />,Z <br />13 <br />14 <br />is <br />16 <br />l7 <br />78 <br />19 <br />Zo <br />Oi <br />� PLM(bulk) <br />❑ Dust/wipe <br />�OTHER, ❑Air <br />spenfy <br />Turn � <br />❑ 1- Hr <br />❑ 24 - Hrs <br />only <br />ai�, <br />❑TCLP <br />❑Waste Water <br />ruttd Time f�/k�k �e! <br />� 2-Hrs ❑4-Hcs <br />❑ 98 - Hrs �3 to 5 dayr <br />Clients Sample # <br />�— �—( <br />�.- `�-� <br />'� — `� — -Z. <br />�- — 9 —3 <br />�-�o-� <br />� � 1 � � I <br />
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