Submission Form - Emsl Analytical
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1
2
3S
S
F
AMPLE
UBMITTAL
ORM
EMSL O
N
(
L
U
O
)
RDER
UMBER
AB
SE
NLY
P
:
HONE
Fax:
Your Name:
Please include payment with your samples.
Street Address:
Certified Check
Money Order
Credit Card
Address 2:
If using a credit card please fill out the
City/State:
“Credit Card Authorization” form which is the last
Zip:
page of this document.
Please Provide Results:
Fax
Email
Phone #:
Fax #:
Project ID: EMSL -
State where Samples were Collected:
Email Address:
Amount of Check Enclosed (if applicable): $
Please check time frame results are needed in. The turnaround time starts when the lab receives the samples and payment, whichever is the latter.
Please enclose certified check, money order or credit card information. Please note that if your sample has multiple layers, as required by the
USEPA, we are required to analyze all layers separately.
ASBESTOS ANALYSIS
TURNAROUND
1 Hour
3 Hrs
6 Hrs
24 Hrs
48 Hrs
3 Days
4 Days
1 Week
BULK SAMPLE - PLM
EPA 600/R-93/116 or NYS 198.1
$300
$250
$200
$155
$150
$145
$140
$125
(floor tiles, roofing, etc.)
Bulk Sample– NOB
PLM EPA NOB or NYS 198.6*
$350
$250
$200
$175
$150
Settled Dust
ASTM 5755/ASTM 6480
$350
$300
$275
$250
Soil Samples
PLM CARB 435, Level A
$450
$400
$350
$300
Vermiculite Samples**
TEM Qualitative via Filtration Technique
$450
$400
$350
$300
Drinking Water Sample
EPA Method 100.2 (fibers >10 microns)
$300
*Both 198.6 and 198.4 (additional $75 charge) must be performed for samples in NYS to be classified as non
asbestos containing material. **Samples from New York State not accepted for loose fill vermiculite
LEAD ANALYSIS
TURNAROUND
3 Hrs
6 Hrs
24 Hrs
48 Hrs
3 Days
4 Days
1 Week
PAINT CHIPS, WIPES, SOIL, DUST via FLAME AA
WATER via GFAA
$300
$250
$200
$175
$150
$125
$100
MOLD ANALYSIS
TURNAROUND
6 Hrs
24 Hrs
48 Hrs
3 Days
4 Days
1 Week
2 Week
TAPE, BULK, AIR or SWAB - Direct Examination
$350
$300
$250
$200
$175
$150
$125
BULK, SWAB, AIR or DUST – Culturable Fungi
$180
Page 1
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of
Controlled Document – Misc. COC R9 -5/12/2016
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