1 PICKERING STREET - ASBESTOS (3) OrderID: 132501061
Asbestos Bulk BuildingMaterials -Chain of CustodyEMSL Analytical.ii;i w Inc.it
5 Constitution Nay,Unit A
EMSL Order Number 1 Lab V Use Only Woburn.MA 01801
£MSL Af+1ALrncAt INC. 13 2 5 0 6 1 EMAIL
NE (281)933-8411
Trerae3 LA"-reaaorPM T A&*WG -_ .. �fvAARL
Customer ID B4Wq ID.
o Compary Name j — - — - e Company Name -
nLN'f3IAa�72tX7�la°,Ia AA o - -
Contact Name. [• ' - -- - — Btlimg Contact:
-- - ----
114 L0 y-to Ir E
e Street Address ? $ Street Address fC/1 t'fL{J3 V� S
City.State,Zip Caxltry: a City State.Zip Country:
3 Phone C�.��7'.� Prwne
Ema s!for Report CcCC� Y Ema+ sy ror inva�ece
Project information
Project
Purchase
NemelNo
1 P.rk� ht � -fir r t7A 0/ 9'� ipo
EMSL LiMS Project ID. US State wnete C.Corinec6at(CT)must pro)ect location
ed .
_y aeatia E M am 51.-W 190-ki sples tmilected
Comtneraai(Taxable} Residential(NOn-Taxable)
Swrow By tkxne Samtxed 8y Srgrlature Date Samp ed a Samples
.,
Tum-Around-Time(TAT)
1 f 3 Hour B Hour f Y 3 24 Hour M 32 Hour ❑46 Hour �72 Hour ❑96 HOW �t riterk ❑2 Work
L•..� PrcKcck►+taRwtll7�«nryeFrerets.++a+wrrrrmrwLmex6hrew►atrsa '+Tk�.s'RTnsStrxbrse+cc+ialuunW.sam;k6.�+�.tt:va:a^�+•aeetrlfl3C+tn
Test Selection --
PLM.Bulk freanrtinu Ilmh) TEM-Sulk
PLM EPA 600fR-931116(0%) 0 TEM EPA NOS
PLM EPA NOB(<1%? (, NYS NOS 198.4(Non-Friable-NY)
0 POINT COUNT R TEM EPA 6001R-931116 w Milling Prep(0 1%1
0400(<n 25%) 01,000(<0.1%)
0 POINT COUNT wi GRAViMETR)C Other Tests folease Spe IM
0400(<0.25%) 01,000,<01%)
NiOSH 9002(0%)
0 NYS 198 1(Enable-NY}
0 NYS 198.E NOS(Non-Enable-NY)
Q NYS 198.8(Vermiculle SM-V) Positive Stop-Clearly ioentified Homopeneotrs Areas(HA)
Sample Number t[fHA NwntW / d� Sample Location Material Description
CJ���=7 S thy_� .7 !fLiCt(,' !'!l FUG.Jt K✓r. N+�'+ /�, 01 rsr.r� t�r.* �t�^1�L4V: �/�+1f.��J 31.E=f �+C2.+f�✓1L��C:
,
4. +
I00, { *-{:ril.4 F, S y Q,/O` A Kr�.7 jr•` stlr"/t �/V, 4.. f ✓I
Q,76 :IS iV9 li#T ". �t GY�tCs.ti r� /� , cYO-7
�{ �.� S/�J` � f��.rpt�f.� ��� 51 �( �.s,�r r ,- r� •Fr[d i►, .� �/Q��r
l �pqt f , w lr lu'4a 1-6 ✓lit 4)(x) adh4 Ae in,Cr74,k 6Pr /A,e
��6,�.�t-f�' �'IT� 1��� ` ,5�. Its �' �cZ,CLnr-+J ...r���G�� t���,r�tflJfb.t ' �tJ� F! C.�/�I�, � /�✓{„�
/c+vt r 4tccnc GclX,k 6"rC-ccZ ua ro cc.rr A,/ W,-/�
Spec ii erulror Regttatay Regwrements(Sample Speoricatons•Processing M L+mits of Detection,sic)
Mettwd of Shpywnt jSamp4et=Upon Receipt,
Rewtgus#red Cy 0; _ iDatsRkne r Race ved by --�J� Oa •xt:e
rt�,tsnaa by Daterrm,e J }T Reca vea by - —- Dsteriime
i�ew
+ _ _ _ t
ra.t..Lear �ser�as s.:!t as�t*.rzc�t f'� IL
1 1 AGREE TO ELECTRONIC SIGNATURE fey ChIPCK Z I axaent to SVrVV tMs Ctukn of Cwstody docrarnent by eieCttartC s.�tl Wv!4.)
EMSL Anayrtical,Inc:s Laboratory Terms and(Uinditlons are incorporated into this Chain of Custody by rafarence In their entirety.Submisston of samptas to EMSL Analytical,Inc.
r oristitutes acceptance and acknwM*dgmanr of all tarns and conditions by Customer.
Page 1 of Z—
OrderID: 132501061
Asbestos Bulk Building Materials -Chain of Custody EMSL Analytical,Inc.
EMSL Omer Number:l.eb Use Only 5 Constitution Way,[Snit A
Woburn,MA 01801
5_a1061
EMSL ANAtYTtCAL.INC. 1 (781)933$43 A
Tss7N0 tAss•PneeV=s-iiiiw O ._..—_ ____.....j bMa80e.rw1•sue^
•daaw,ar a We.corn orc. a.ar h.e... t.neeetl b..eemnar. mamww
Spena! rrtttrons anti or
Reguatory Requmments(sample 5pecAcatians Processing Methods Limits M Detecton etc}
Sample Number HA Number Sample Location Material Description
et,
spy-/zk .- n-76
�jS`/ 1y n % r /'Sect/ivatr i r�xz.�t Cvtw Iola"�-
Li 2 �/ `/ r! FICJ -
a2,�76 . S yy _/`9'
Z 6�?s Y9-.21' 3"" Q
i
r � -
Method of Shipment iSample C..nrYfiw Ulx RaOilpt
Re6riOui&'ted by.� n Rime -• p"� ; i'Recezvea ay — - - - iDsWTfine
RekAl)t shed by c �DatetrSBne- =1 M *Received by --- — —'Dala6:me
d
:a.•,•3W 9:9]cM'YM-f6fMHot Bu&A't36'�^b7�
1 JGREE TO ELECTROW SIGNATURE My d+ec>'mg I=,oseO m swing this Chain a:CvsWd',docis'Wt by electron.son+ t
EMSL Anaiytieal,ft.'s Laboratory Tema and(ondHiods an incorporated into this Chain of Custody by reference In their eaWaty.Submission of samples to EMSL Ansity scat,Inc.
�:slittRea acceptance and Acknowtedgmatint of all tents and conditions by Customer. Page 7
Page 2 Of 2