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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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i <br /> NVL Laboratories, Inc. CHAIN of CUSTODY U" 1 )4705 Aurora Ave N,Seat:le,WA 98103 SAMPLE LOG 180,89///+++��� 5 <br /> p 206.5470100 I f 206 634 1936 I www nvllabs,com <br /> Client NVL Laboratories Inc NVL Batch Number <br /> Client Job Number 2018-0363 <br /> Street 4708 Aurora Ave N <br /> Seattle,WA 98103 Total Samples 142-- <br /> Project Manager Sved Hasan Turn Around Time Hr 6 Hrs 3 Days 10 Days <br /> Project Location 12011 19th Ave SE 4 Hrs /2 Days O 5 Days <br /> Everett, WA 98208 Please call far TAT less than 24 Hn <br /> Email address emory.cole(agmail.com <br /> Phone: (425)232-8809 Fax: <br /> Asbestos Air r 1 PCM(NIOSH 7400) 1-- TEM TEM(NIOSH 7402) __I TEM(AHERA) 'j,, TEM(EPA Level II) L Other <br /> Asbestos Bulk.' (EPA/600/R-93/116) L PLM(EPA Point Count) L PLM(EPA Gravimetry) [.._TEM BULK <br /> :Mold/Fungus T.Mold Air Lj Mold Bulk 7 Ratometer Calibratior <br /> METALS Det.Limit Matrix RCRA Metals All 8 Other Metals <br /> Arsenic(As) I Chromium All 3 <br /> Total Metals1 FAA{ppm} Air Filter Soil (Cr{ <br /> TCLP , (PPM) 1 1 Drinkingwater Paint Chipsin% Barium(Ba) I Lead(Ph) 17.;Capper{Cu) <br /> _ { ;ICP m Nickel{Ni) <br /> Cr 6 [.-1 GFAA(ppb) Dust/wipe(Area) ; Paint Chips in crr Cadmium(Cd) I Mercury(Hg) <br /> i .,Zinc an) <br /> , lOther Types E.Fiberglass Lm Nuisance Dust J Other(Specify) <br /> of Analysis l Siiira- I Rpgnirahip,flust <br /> Condition of Package: ❑Good Ti Damaged(no spillage) ::-1 Severe damage(spillage) <br /> Seq.#, Lab ID Client Sample Number,Comments 'A/R_t <br /> 1 Zdl fr-4363-3-Zi, <br /> \:3-ZZ4 3-Z-t1 '5 3L..6 3 i <br /> ..t.7 3-77 <br /> 8Z$" <br /> 9 ✓".`Zi <br /> 10Q_ <br /> Ill <br /> 12 . <br /> , <br /> 13 <br /> 14 , <br /> 15 <br /> Print.Below Sia ow Company Date Time <br /> Sampled by et f wJ <br /> Relinquished by NVL_ �! '. <br /> Received by, �9 : ._ : 5/)Gr 1 2, <br /> Analyzed by' I <br /> Results Called by, I I <br /> Results Faxed by <br /> Special instructions: Unless requested in writing,all samples will be disposed of two(2)weeks after analysis <br /> Results report to <br /> page 21 of 21 <br />
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