IH CHAIN OF CUSTODY

* Emergency TAT requires prior lab notification. All samples analyzed outside normal business hours are charged at Emergency rate.**TAT’s are in Business Days rather than Hours (i.e.1 Day TAT = End of Next Business Day)

Submitter Name: Bill to:

Company: Address:

Address:

City/State: Zip:

City/State: Zip: PO #: Project Information

Project Name: Project Manager:

Project #: Telephone – Office/Cell

Reports - Email Address:

Invoice - Email Address: Notification By: Email: Verbal:

Special Instructions:

Turnaround Times – Please Select One

Emergency* 1 Day 2 Day 3 Day 5 Day ASBESTOS

PLM - Bulk PCM - Air TEM - Air TEM - Bulk TEM - Water TEM - Dust TEM/PLM Soil/Vermiculite/Ore

EPA 600/R-93/116o Visual Estimation (<1%)

o 400 Point Count 0.25%

o 1,000 Point Count 0.1%

o Gravimetric Reduction

o Matrix Reduction (+/-)

o NIOSH 9002o OSHA ID-191

o NIOSH 7400o ASTM D7201o ISO 8672o OSHA ID-160

o AHERA o NIOSH 7402 o ASTM D6281 o ISO 10312 o ISO 13794

o GravimetricReduction (<1%)

o MatrixReduction (+/-)

o Qualitative (+/-)o Drop Mounto Filtration

o EPA 100.2 Drinking Water o >10 µm fiberso ≥0.5 µm fibers

o EPA 100.2 Effluent / WW

o ASTM D5755Microvac

o ASTM D6480Wipe

o 600/J-93/167Carpet - EPA

o Bulk DustQualitative

o ASTM 7521-TEM (+/-)

o ASTM 7521-TEM (<1%)

o CARB 435-Modified

o Soil – PLM Only (+/-)

o Vermiculite - TEM (+/-)

o Vermiculite-Cincinnati

o Erionite ID

METALS SILICA/PARTICULATES

Flame AA Graphite Furnace AA -

LEAD ICP X-Ray Diffraction / Gravimetric

o Lead in Paint – SW846 7420/3050B o Drinking Water – EPA 200.9 o Elements in Air – NIOSH 7300o Lead in Air – NIOSH 7082 o Wastewater – SW846-7421 o Wipe/Soil – SW846-6010B

o Respirable Crystalline Silica NIOSH 7500 / OSHA 142

o Lead in Wipes – SW846 7420/3050B o Soil/Sludge – SW846-7421 o Effluent – SW846-6010Bo Lead in Soil – SW846 7420/3050B o Air – NIOSH 7105 o Welding Fume – NIOSH 7300M

Total Number of Samples Submitted: Positive Stop: YES NO Signatures

Relinquished By: Date: Time:

Received By: Date: Time:

Relinquished By: Date: Time: Received By: Date: Time:

J3 Order # (Lab use only) Open Lab Fee

o NIOSH 0500 – Total Particulates

o NIOSH 0600 – Respirable Particulateso TCLP – SW846-1311/6010B

Eurofins J3 Resources, Inc. 6110 West 34th Street Houston, Texas 77092 tel: 713-290-0221 fax: 713-290-0248 Eurofins J3 Resources, Inc. 3113 Red Bluff Road Pasadena, Texas 77503 tel: 713-290-0223 fax: 713-290-0248

Received on ice:

Temp: _________

Page ____ of ____

Revision #v7/MF Revision Date: 3/09/2020

Yes Noo o

IH CHAIN OF CUSTODY Project Name ______________________________________________

Page ____ of ____SAMPLE IDENTIFICATION

SAMPLE NUMBER SAMPLE LOCATION / MATERIAL VOLUME/CONDITION

Comments/Special Instructions:

Revision #v7/MF Revision Date: 3/09/2020

Eurofins J3 Resources, Inc. 6110 West 34th Street Houston, Texas 77092 tel: 713-290-0221 fax: 713-290-0248Eurofins J3 Resources, Inc. 3113 Red Bluff Road Pasadena, Texas 77503 tel: 713-290-0223 fax: 713-290-0248

Project Number ________________