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SEATTLE ASBESTOS TEST, LLC BATCH fl6)041993� <br />CHAIN OF CUSTODY <br />Bulk Analysis _ Point Count 400 _ Point Count 600 <br />. _ Point Count 1000 <br />Turn Around Time__.Number of Samples / 0 Client Job #t j - Vejl( <br />Client Name _&Ve'AY �;o fail VL�5 4y% <br />J <br />Address 9// o Z-yP�,-� o.� b1��++1 City f1'�rd�— State —LA Gip <br />Phone ^ 66 ras Email <br />r <br />Projectt3tio"ii o L /�C yl 1t = Project Manager_�nl.�r u <br />Sample Condition: Good TDamaged Severe Damage(Spillage)y <br />SEQN <br />SAMPLE ID <br />SAMPLE DESCRIPTION <br />Lab ID <br />Comment <br />A/R <br />3 <br />3 <br />4 <br />14 <br />5 <br />6 <br />7 <br />"7 <br />s <br />e <br />9 <br />b` <br />10 <br />r° <br />F <br />11 <br />i1 <br />7 <br />12 <br />13 <br />14 <br />1 Le <br />15 <br />1'S <br />Print <br />Si nature <br />Cum an • Name <br />Date <br />Time <br />Sampled by <br />Relin uishedb' <br />Delivered by <br />Received by2iC,, <br />Anal zed b <br />Result reported b <br />s <br />(GL <br />Seattle Asbestos rest warrants the test resullf to be of a precision normal for the type end methodology employed for each <br />sample submitted, and disclaims any other y1arrants, expressed or implied, including warranty of fitness I'or a particular purpose <br />and warranty of merchantability. Seattle A estos Test accepts no legal responsibility for the purpose for which the client uses <br />test results. By signing on this form. the icnts agree to relieve Seattle Asbestos Test of any liability that may arise from the test <br />results. <br />Result Reporting method: Phone—, 1'nx_ Emnil __ pick Up Report <br />13�� � <br />