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DocuSign Envelope ID:6A1278D6-4287-4002-98A9-C69C8C1 D313E <br /> Indoor Environmental Air Quality Assessment <br /> Chain of Custody <br /> Scientific Analytical Institute Lab Use only <br /> 4604 Dundas Dr.Greensboro,NC 27407 Lab Qrder ID: <br /> JW Phone.,336.292.3888 Fax.,336.292.3313 Client Code: <br /> wwwsallab.com lab�sailab.com <br /> Company Contact Information Microbiology Test Type's <br /> Company:Environmental Solutions Group Contact:Scott Sumner Spore Trap-Slit tmpact, Elic,AOC/Ally Coco STA) <br /> Address:7 Maple Leaf Drive,Suite 104 Pbone❑: Spore Trap other,ie Micas 1l4� <br /> (sTo) A <br /> Greensboro,NC 27410 Fax❑: Direct Exam Tape(DET) ❑ <br /> Email❑:ssumner®go-esg.com Direct Exam Swab(DES) ❑ <br /> Direct Exam Bulls(DEB) ❑ <br /> Billing/Invoice Information Turn Around Times Fungal Culture Aix(FCA) ❑ <br /> Company:SAME 90 Min. ❑ 48 Hours ❑ Ftntgal Culture Swab RCS) ❑ <br /> Contact: 3 Hours 72 Homs ❑ Fungal Culture Bulls(FCB) ❑ <br /> Address: 6 Hours ❑ 96 Hum ❑ Bacteria Culture Art(BCA) ❑ <br /> 12 Hotns ❑ 120 Hours ❑ Bacteria Culture Bulk(BCB) ❑ <br /> 24 Hours ]44*Hours❑ Bacteria Culture Swab(BCS) ❑ <br /> Biolog(BLG) ❑ <br /> PO Number. 1 pl Cl / Drinking water(Bccq ❑ <br /> .i` !PP ! CalifarmlE.coli <br /> Project Name/Number: OrAm �e other: ❑ <br /> Sample ID# Description/Location Volume/Area- Comments <br /> t 25-4 <br /> vl-l-i' <br /> v e i 5 5 <br /> �Ib n , <br /> .q Cn Y <br /> 1 W,4 SL4n12 E <br /> o e t'� OJAI St.' �: <br /> ti 611C&A <br /> r�r I K <br /> ( 2S L <br /> 13 6Jew e"-5 tSa cm 1 dl S <br /> 1 r 9-5' eG <br /> Total#of Samples <br /> Relingui hed by Date/Time Received by )Date/Time <br /> Page of� <br /> MF-019 S%P:y�1ut <br /> Environmental Solutions Group • 7 Maple Leaf Drive,Ste 104,Greensboro, NC 27410 • 336-373-1538 21 <br /> www.Go-ESG.com <br />