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12011 19TH AVE SE 2019-07-25
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12011 19TH AVE SE 2019-07-25
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Last modified
7/25/2019 9:21:22 AM
Creation date
7/25/2019 9:21:10 AM
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Address Document
Street Name
19TH AVE SE
Street Number
12011
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. • <br /> ASBESTOS LABORATORY SERVICES a- <br /> . <br /> NVL <br /> Company Alexander's Derno_Ab_atem_ent_LLC_ NVL Batch Number 1824864.00 <br /> Address 7,114145th.StS.VV__, .. _„ _ „ TAT I Hr ......._ AN. No <br /> Lynnwood_WA_SliDill.. Rush TAT_ _ <br /> Project Manager Mr.„WilrnatRamice,z, Due Date_12/18/2018_Thrie, 3140 PM <br /> Phone (425)21.9z8624._ Email alexanderciemo98@grnaiLcorn <br /> ,_. _ .„,„ Fax G- <br /> .. <br /> Project Name/Number;NA__ _____ __ Project Location; 12011,19thAtoSEEverott„WA98208 _ i <br /> .........___ . <br /> Item Code A$B701 NIOSH 7400 Asbestos byPCM. A-.rule) <br /> Total Number of Samples 1 Rush Samples_.... _ <br /> Lab ID Sample ID Description A/R <br /> 1 1 118128253 1E#4 A <br /> Print Name Signature Company Date Time <br /> Sampled by !Client i <br /> t <br /> Relinquished by Clienti, <br /> Office Use Only Print Name Signature Company Date Time <br /> i = <br /> Received by Soumeya Benzina 1NVL 12/18/18 11440 <br /> i f <br /> Analyzed by I,Soumeya Benzine NVL 12/18/18 <br /> Results Called by <br /> El Faxed El Emalled <br /> r <br /> ,Instructions: . ..-. , <br /> _ — .,_______.„.., <br /> Date:12/18/2018 <br /> Time:2:31 PM <br /> Entered By:Soumeya Benzina <br /> page 3 of 4 __--t/i <br />
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