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Aug 07 2005 2: 36PM FASI 5108874218 P, 5 <br /> State IIJ#_ <br /> r' <br /> I <br /> SAMPLES, ZONT. <br /> Addresssampka Lab name DafF cdlecfed ', <br /> r"81Ts1I�1L f�EvTiG�i r 7f. 'D� .Elt <br /> Gly Gvurlry Z'P <br /> b7rrAt�7N i Sr�v JD p4dnl 4S1D� <br /> (.AB DUST WIPE AwLtS( llt')Ut&A5TM approved vri eS onl . <br /> XRF i <br /> Sample R Cornponenf Lab Sa pto Result Aarsufr s <br /> NNo, {ilV-01MA MP Location Poom',�ide(�erNfJD ICS Cpnptarrenl GOndi7+o+e 'G-!"Sla^5 lDd� ( ff 2StC.7 <br /> ❑INenor i D Lb:re room ❑Bedroom Hoot ❑Intact ' IT. t2'r ! ❑Yes <br /> (�Exledo+ Ln I41:0`en D Batnroam YJindaw*oil ®Fair -":r D No <br /> ' B O tier. RG ❑Window sin ❑Poet <br /> ❑Int<rAr ❑LitEngrx," 'l Bedraortl ❑Floor D 1 18C i =.t"t Ic Q Yes ` <br /> ii ®Exterior ; ❑I4:erx+n '72 Balrrroam ❑Windoww!II ®Fair C•'tr I C1 No t <br /> Pf E 'DO're" MACK 0Window oil ❑Poor �5rX29" I k <br /> gide: B C }Q <br /> - Q Olher: <br /> InlerlOe I ®Livitp roan D Bedroom Floor ! 0 Inled i z-'2--',Z" ❑Yes <br /> ❑Exlener ❑Window wdl ®Fair I Ct`4r, D Na <br /> Q 11itcl*rr ❑Belhraom <br /> S! D other: ❑Wrndow$12 0 Pea I r 1 <br /> ©plitar; k` <br /> Slde. 8 C D M <br /> inwor ®Li%ie.j roam D 8e00arn 0Floor ❑Imacl j '�_ 12"1 i3''i ❑yes <br /> {]EtteMr i D 1f =Zen D Bmhfrora 0 windawwtfl Farr Na 3} <br /> 5fJ ,Oru: ©IhimewSill [2 Four i <br /> 51 Inleirw ;❑Um-I+-=°" 0 Bed=11% ®Floor �)Intitt � :i`■i� j ❑�eS <br /> ❑Eclenor K t."en ❑eawroo'n []Window**I' 0 Foie I _Cw=' i ©ma <br /> rf� D Q ar Q Windawti,l L1 Pant ' <br /> ❑01her <br /> Side: A B D <br /> Irtcria� 0 Lr+nq mo- Bedroom ® Floor C,Intact _�1?"s:!' I ❑yes <br /> t [�Exterior 9 YCti>en .J BaIrwacm ❑Window woe ®Falr L'let ❑No I <br /> ]' !❑Other' Q <br /> Werdow sin ❑Poor <br /> I Side: A E} A D - -- i <br /> Ir i <br /> ❑Inter i❑Uhrl9 roam ❑Bedrabm d FIOw 0 watt = t Y>'t 2' ❑Yes t <br /> 0 Fxtenor 1❑Ki?-.;, 03 Badsroom D wlnt�eawea ❑Fair <r. ❑�+� <br /> Cl we'dow sin ❑Rear i <br /> Sita h B C D <br /> OTIiER SAMPL S It Ern anad +odtrcl&wafer,etC. l <br /> DeScripC'on•Locaeon cor"isNa s r <br /> Sa plaifery;ink bortslaereatedLoh San;pls <br /> Ab. coo Wafer,Frit draw s+mrafe,kitchen,haCel Tell}fit I units <br /> ❑CowIte ❑P Q Pee z <br /> Cl Horn rarmdy ❑lYaur e9 t i <br /> ❑thlte; dr r' <br /> ❑cd <dc D Pettey ❑Pas ! + r <br /> ©Ham Maw4y ❑wa,tr Nag i <br /> ©01h <br /> ❑C do ❑Pas <br /> D wale ❑Neo <br /> :j <br /> CHAIN OF GUS ODY <br /> ?r1 <br /> Sample : <br /> Na. Date and Tawe Aefinquhthed by(S' rrafure+ bkpt and Tina eerived by SignarureJ <br /> ala Ian k oo 0 p►u. E f E NED JUN 3 EM <br /> 1 ❑Flo, <br /> Cl <br /> _�. r n_ r r r_e�....,.a ,,. f alarxtlia Oaf7aflrrleM o!Health Serrlcee CttiltA Load Pasortirry YrcNfdilUOtt rands Page 14 <br /> A <br />