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EMLabPK. com Fog Rain Snow Wind None Light Moderate Heavy Legionella culture Weather Gram Stain Counts Culturable Air Surface Bacteria CHAIN OF CUSTODY D Dust SO Soil O Other By submitting this Chain of Custody you agree to be bound by the terms and conditions set forth at http //www. emlab. com/s/main/serviceterms. html Copyright 2002-2013 EMLab P K Doc. 1192 Rev 29 Revised4/25/133 Page 1 of 1 QA. REQUESTED SERVICES Use checkboxes below Culturable PO Number Sampled By WH Weekend / Holiday Sample ID Sample Type TAT Total Volume / Area Notes Below Description Above as applicable Time of day Temp RH etc* SAMPLE TYPE CODES BC BioCassette A1S Anderson SAS Surface Air Sampler P Potable Water CP Contact Plate NP Non-Potable Water ST Spore Trap Zefon Allergenco Burkard RELINQUISHED BY T Tape SW Swab B Bulk DATE TIME RECEIVED BY PCR specify test SD Same Business Day Rush Rushes received after 2 pm or on weekends will be considered received the next business day. Please alert us in advance of weekend analysis needs. Asbestos Analysis PLM EPA method 600/R-93-116 Sampling Date Time ND Next Business Day Project Zip Code 3-Media Surface Fungi Genus ID Asp* spp* STD Standard DEFAULT Quantitative Spore Count Direct Exam Direct Microscopic Exam Qualitative TURN AROUND TIME CODES TAT Fungi Spore Trap Analysis PROJECT INFORMATION Spore Trap Analysis Other particles Phone Culturable Air Fungi Genus ID Asp* spp* Special Instructions Contact Address MPN Bacteria specify organism CONTACT INFORMATION Company Other Requests BioCassette Andersen SAS Swab Water Bulk Dust Soil Contact Plates QuantiTray Sewage Screen Spore Swab Trap Membrane Filtration specify organism New Jersey 3000 Lincoln Drive East Suite A Marlton NJ 08053 866 871-1984 Phoenix AZ 1501 West Knudsen drive Phoenix AZ 85027 800 651-4802 San Bruno CA 1150 Bayhill Drive 100 San Bruno CA 94066 866 888-6653 Clear Total Coliform E* coli Presence/Absence Level www. EMLabPK. com Fog Rain Snow Wind None Light Moderate Heavy Legionella culture Weather Gram Stain Counts Culturable Air Surface Bacteria CHAIN OF CUSTODY D Dust SO Soil O Other By submitting this Chain of Custody you agree to be bound by the terms and conditions set forth at http //www. emlab. com/s/main/serviceterms. html Copyright 2002-2013 EMLab P K Doc* 1192 Rev 29 Revised4/25/133 Page 1 of 1 QA. REQUESTED SERVICES Use checkboxes below Culturable PO Number Sampled By WH Weekend / Holiday Sample ID Sample Type TAT Total Volume / Area Notes Below Description Above as applicable Time of day Temp RH etc* SAMPLE TYPE CODES BC BioCassette A1S Anderson SAS Surface Air Sampler P Potable Water CP Contact Plate NP Non-Potable Water ST Spore Trap Zefon Allergenco Burkard RELINQUISHED BY T Tape SW Swab B Bulk DATE TIME RECEIVED BY PCR specify test SD Same Business Day Rush Rushes received after 2 pm or on weekends will be considered received the next business day. Please alert us in advance of weekend analysis needs. Asbestos Analysis PLM EPA method 600/R-93-116 Sampling Date Time ND Next Business Day Project Zip Code 3-Media Surface Fungi Genus ID Asp* spp* STD Standard DEFAULT Quantitative Spore Count Direct Exam Direct Microscopic Exam Qualitative TURN AROUND TIME CODES TAT Fungi Spore Trap Analysis PROJECT INFORMATION Spore Trap Analysis Other particles Phone Culturable Air Fungi Genus ID Asp* spp* Special Instructions Contact Address MPN Bacteria specify organism CONTACT INFORMATION Company Other Requests BioCassette Andersen SAS Swab Water Bulk Dust Soil Contact Plates QuantiTray Sewage Screen Spore Swab Trap Membrane Filtration specify organism New Jersey 3000 Lincoln Drive East Suite A Marlton NJ 08053 866 871-1984 Phoenix AZ 1501 West Knudsen drive Phoenix AZ 85027 800 651-4802 San Bruno CA 1150 Bayhill Drive 100 San Bruno CA 94066 866 888-6653 Clear Total Coliform E* coli Presence/Absence Level www. .

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