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AIR SAMPLING ANALYSIS REQUEST FORM <br /> CHAIN OF CUSTODY <br /> Project Name: Troy Asbestos Property Evaluation(TAPE) <br /> Project No: <br /> Collected k <br /> Turn-Around Time,: <br /> 12MO-2ch Lob 1A# Rate &M al fiffok 5Lw_19 filafflopiet nm_90n Flow Rate-Sta[IAIMOL22010_nUss §kknM <br /> fiamde-0 ggUlded <br /> 9A2920M 1M ML412D ftMSIzeto T_02 Flow Ra Ime LPersonM <br /> Total Minutes Total Volume <br /> If <br /> Special Instructions/Comments: <br /> "Contact Person: Contact#: Analytical Laboratory: <br /> Samples Relinquished By: —Date ( / / ) Time Samples Received By: Date( / / ) Time( <br /> Samples Relinquished By: —Date( / / ) Time( Samples Received By: Date( / / ) Time( <br /> Samples Relinquished By: Date ( / / ) Tirne( Samples Received By: Date( / / ) Time( <br /> 1)RUSH,4HR,SHR.12HR,24HR,01tvar. 2)(12)-perimeter,(E) Excursion,(D)-Duration,(C)-Clearance,(8)®Background,(0)-Other. 3)PCM(AHERA)(NOSH 7400).TEM(AHERA)(1,1108H 7402)(Yornater 2),AA NorVlablo Fungi,NUlunce(Respirable)Dust,TVOC,Metals,Other, <br /> 4)MCE,PVC,Matched Weight,Other. 5)OA5pm(rEM),Milian(PCM),Other. 6)Prop"address(e)and building number(s). 7)Stationary w personal 8)FW ssonplbrg,date entry,office <br />