Submission Form - Emsl Analytical Page 2
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1
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F
AMPLE
UBMITTAL
ORM
EMSL O
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RDER
UMBER
AB
SE
NLY
PHONE:
FAX:
Industrial Hygiene Laboratory Services
TURNAROUND
Formaldehyde -
24 Hrs
48 Hrs
3 Days
4 Days
1 Week
2 Week
Air Sample Collect on Monitoring Badge
NIOSH Method 2016 Modified
$458
$380
$305
$230
$190
$150
Formaldehyde Badges - $20 each
Qty. ________Total Cost _______
Note: Please follow all sampling instructions and paperwork documentation included with the sample badges.
Formaldehyde – Off-gas testing from sub-sample
24 Hrs
48 Hrs
3 Days
4 Days
1 Week
2 Week
laminate flooring or other composite wood
products
$948
$799
$635
$477
$397
$318
ASTMD5582-14 Desiccator Method – EMSL Modified
Note:
Please submit a 2 inch by 2 inch sample or as close in size as possible. Place the sample in a sealed plastic bag.
Formaldehyde – Off-gas testing from intact laminate
1Week
2 Week
Flooring or other composite wood products
ASTMD6007-14 Small Chamber Study – EMSL Modified
$1300
$650
REAL TIME Q-PCR LABORATORY ANALYSIS AVAILABLE
PCR-Environmental Relative Moldiness Index (ERMI) 36 Panel
Package developed by the EPA and is being studied as a tool to help qualify the moldiness of homes.
Please visit
or call 1-800-220-3675 for more information.
Radon Testing Available –
Please visit
or call 1-800-220-3675 for
more information.
*Please Contact Laboratory before Sample Submittal for the Minimum Necessary Sample Volume and Mass*
Sample Number
Sample Location
Total Number of Samples Sent:
Date Sent:
Time Sent:
Received (Lab):
Date:
Time:
Comments:
EMSL Analytical is strictly an analytical laboratory. We can analyze samples by various methods and provide you with a written report but cannot provide you with any
advice as to how to proceed after obtaining results. Due to magnification limitations inherent in PLM, asbestos fibers in dimensions below the resolution capability of
PLM may not be detected. The limit of detection as stated in the method is 1%. For assistance with interpretation of your results, you may call your local health
department, visit the USEPA website at , or hire an environmental consultant.
If you would like EMSL to test your sample by PLM EPA Method EPA 600/R-93/116 please send us a sample of the material you want tested in a sealed zip lock bag
(approximately 1 square inch is sufficient), and fill out the attached form. All orders must be prepaid. If you do not wish to use a credit card, include a certified check or
money order in the amount that corresponds to the turnaround time you requested, multiplied by the number of samples you submit. Please refer to
for more information regarding asbestos in your home.
Not all services and/or tests are offered at every EMSL laboratory location. Please contact your local EMSL laboratory to confirm their ability to provide the service/test
that you require.
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Controlled Document – Misc. COC R9 -5/12/2016
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