Specification

This test report contains the following sections; Chain of Custody , Report (and optionally Frequently Asked Questions and Glossary).
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Submitted By: test test | via: Hand Delivered | Submittal Date: 2/2/2017 1:47:53 PM | Sample Date: 2/1/2017 | Report Date: 3/31/2017 | Lab Job No.: 17-1267 | Technician: Sally Scientist
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. 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. Structures that were observed from the samples submitted are listed on this report. If a
structure is not listed, it was not observed in the samples submitted.
LAB0137 by the Texas Dept. of State Health Services AIHA EMPAT Accredited ID No. 154782
Tech Notes:
2501 Mayes Rd #110
Carrollton, Texas 75006
P - (972) 820-9373
Toll Free (866) 416-6653
Website - www.moldlab.com
Test Code 3 Report Rev. 1