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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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ASBESTOS LABORATORY SERVICES <br /> . <br /> Cis NVL <br /> Company ,Alexander.s.C},erlao_Abaternent,LLG _._ NVL Batch Number 18244135.00 <br /> Address 7.04..9.4516.St.SILU . _._...._ ._._ _._ TAT 1..Hr_... . <br /> Lynnwood.,,,W ..98Q87_- ._..,_ Rush TAT <br /> Project Manager Mr—Wilmer Ramirez., ..._ r.., _ Due Date-__-12/11.[2118 rune_... 4:3O.P_M...._ <br /> Phone (425)212-..8824,_ _...... _ w_ Email atexander-derno9 (c gmaiLcom_. <..- <br /> ___. Fax <br /> Project Name/Number:49 ___moo._„ ____ Project Location:120t..19 e SEEvre ;WA 82 .-w . <br /> Subcategory EOM Air________.__ _ <br /> Item Code ASB_01.___.... „__-._____.... NlQSHJ400Asbesto.s...by_PCM_..{A_rute.)...<air_?,._... ..._ <br /> Total Number of Samples—. 1 _____ Rush Rush Samples <br /> Lab ID Sample ID Description A/R <br /> I 1 118125938 1l.#20 1 ' A <br /> Print Name Signature Company Date Time <br /> Sampled by Client <br /> I Relinquished by Client ii <br /> Office Use Only Print Name. Signature Company Date Time <br /> Received by I Michael Jenkins E INVL }12/11/18 11530 <br /> Analyzed by Matthew McCallum I. 12/11/18 <br /> Results Called by I I i <br /> CI Faxed & ailed' i i <br /> l Special .__.--.. -- <br /> Instructions: _..__ .. . <br /> Date:12/11/2018 <br /> Time:3:31PM <br /> - <br /> Entered By:Michael Jenkins // \ <br /> page 3of4 i6 / u <br />
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