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Forensi( nalytical (- <br /> Analytical Report <br />{ San Francisco• 3777 Depot Road, Suite 409, Hayward, CA 94545 • Phone 5101887-8828 • Fax 5101887-4218 <br /> Los Angeles a 19443 Laurel Park Road, Suite 101, Rancho Dominguez, CA, 90220 a Phone 310/763.2374 • Fax 310/763-8684 <br /> Bulk As1:> tastcas Alk rnalys :L Summary <br /> 40 CPR 763, Subpart F, Appendix A (AHBRA) <br /> Client: <br /> Blasland, Bouck, & Lee, Inc . Client ID : 2798 <br /> Report Number: 239946 <br /> 7599 Redwood Blvd. , Suite 209 Date Received: 08/02/95 <br /> Novato, CA 94945 <br /> ----------__--------------------------------------_------------------------------- <br /> i P. O. Num: <br /> LJob ID: 05845 <br /> Site : Tiki Lagun <br /> i, --------- <br /> __ _ _ <br /> L Sample-Number -------Date-Col, Lab Num. ---Asbestos--------------------------- <br /> Location/Description Present (Breakdown by type) <br /> Store bathroom 06/.16/95 19568200 10-15% Chrysotile ( 10-15% ) <br /> Store bathroom. <br /> House roof 06/16/95 19568201 Non-Det. % <br /> House roof. <br /> h �-.4ouse kitchen 06/16/95 19568202 Non-Det. % <br /> House kitchen. <br /> House service porch 06/16/95 19568203 30-35% Chrysotile (30-35% ) <br /> House service porch. y <br /> Mly <br /> '195 <br /> BLASLAND, BOUCK&LEE, iIC, <br /> NOVATO,CA <br /> G <br />` ---------------------- -_- ----- ------------------------------ <br /> Patrick B, Little, Optical Laboratory Super 's r, Hayward Laboratory <br /> i <br /> Analytical results and reports are generated by Forensic analytical at the request of and for the exclusive use of the person or entity(client)named on <br /> such report.Results,reports of copies of same will not be released by Forensic Analytical to any third party without prior written request from client. <br /> This report applies only to the sample(s)tested.Supporting laboratory documentation is available upon request.This report must not be reproduced <br /> except In full with approval from Forensic Analytical.The client Is solely responsible for the use and interpretation of test results and reports requested <br /> t from Forensic Analytical.This report must not be used by the client to claim product endorsement by NYLAP or any agency of the U.S.Government. <br /> Forensic Analytical Is not able to assess the degree of hazard resulting from materials analyzed.Samples submitted to Forensic Analytical are retained <br /> II for a period of six months and then disposed of according to all state and federal guidelines. <br />� F <br />