Specification

PROJECT INFORMATION
John Smith
123 North Street
Carrollton, Texas 75006
CLIENT INFORMATION
Moldlab
2501 Mayes Road Suite #110
Carrollton, Texas 75006
Project No.: 555
Chain of Custody
This test report contains the following sections: Chain of Custody, Report (and optionally Frequently Asked Questions and Glossary).
Direct Exam
.
2501 Mayes Rd #110
Carrollton, Texas 75006
P - (972)-820-9373
Toll Free (866)-416-MOLD
Website - www.moldlab.com
Submitted By: test test | Submittal Date: 2/2/2017 1:47:53 PM | Sample Date: 2/1/2017 | Lab Job No.: 17-1267
Page 1 | 1
Results apply only to samples tested. Results may not be reported or reproduced except in full without written approval of Moldlab. All samples were received in
acceptable condition unless noted in the Tech Notes section. Field blank correction of results is not applied. An estimate of measurement uncertainty is provided on
request. Moldlab assumes no responsibility for sample collection or handling prior to receipt at the laboratory. This report does not express or imply interpretation of the
results contained herein.
LAB0137 by the Texas Dept. of State Health Services
Kristina Rucker, Lab Director
Rev.
2
AIHA ID No. 154782

Summary of content (8 pages)