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10766 Balimore Averue
‘ Lead (Pb) Chain of Custody
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PRONE: (301) 937-5700
FAX (301) 937-5701
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[Report Ye (Name): Wiliam Dallas ae 1 307-982-6507
Email Address: willamdsles@pgcpsorg -_——_—| Fax ax_ 901-962-0546
[Project Name/Number: 50 Provide Resuts:_[—]
US. State Sompies Takers MD CCT Samples: 1) ConmmercaToxable [] ResidenGalTax Exempt
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Street 19900 O14 Marboro
City-Upper Maiboro
Project Name/Number: _
US. State Samples Taken: MO_
Report To (Namo}:Wiliem Dallas
Email Address: william.dallas@pgops.org _
Lead (Pb) Chain of Custody
EMSL Order ID (Lab Use Oniy)
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ZipiPostal Code: 20772
“Thiel Party Bling requires wrtton authorization trom tid party
EMSL Analytical, Ino.
410768 Baltimore Avenue
Beltsville, MD 20705
(301) 937-5700
(301) 937-5701
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d EPA007 0.020 malt. (ppm)
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