ASBESTOS BULK SAMPLE ANALYSIS FORM

Laboratory :
Laboratory Address :
Laboratory POC :
Laboratory Telephone Number :
Reference Metehod : NIOS 9002
Asbestos bulk sample analysis using Stereo/Polarized Light Microscopy with dispersion staining
Laboratory Report No.
Sample Field ID No.
Analyst :
Date Analyzed

28/02/2013

Sample Treatment:

Physical description:

Homogeneous:

Oven Drying

Solvent

Non-Asbestos Fibrous Compenents Identified:

D) Cellulose:
%
Flat, twisted fibers
Anisotropic
Irregular extingction
Pits, cross marks
n= 1.55 CSD.S colors
=600-700 nm, blue
=500-600 nm, yellow

Uniform fiber shape

Anisotropic
Parallel extingction
Pits, cross marks
n= 1.55 CSD.S colors

=Various (depend on identify

NOTES :

Other

No
x No

Yes

Brown

Asbestos Fibrous Compenents Identified:

A) Chrysotile:
ND %
Wavy Fibers and Boundles
Anisotropic
(+) Sign elongation
Parallel extinction
Low birefringence
n= 1.55 CSD.S colors
=600-700 nm, blue
=500-600 nm, magenta

G) Synthetic Fibers

26/02/2013

None

x Yes

Fibrous:
Color and Sample Appearance:

R-1302007-11

Laboratory Sample ID No.

Date Received:
Review Analyst:
Date Reviewed:

ND (No Detected)
B) Amosite:

ND

C)

F) Glass Fibers

Straight fibers
Anisotropic
(+) Sign elongation
Parallel extinction
Low birefringence
n= 1.68 CSD.S colors
=600-660 nm, blue
=430-460 nm, yellow

E) Mineral Wool
Irregular shapes
Isotropic

%
Crocidolite: ND
Straight fibers
Anisotropic
(-) Sign elongation
Parallel extinction
Low birefringence
n= 1.68 CSD.S colors
=410-440 nm, yellow
=430-460 nm, gold yellow

Straight fibers
Isotropic

A43

H) Other

I) Non Fibrous Component :

Description:

%
%
%

Approx %

%
%
%

R-1302007-11

R-1302007-11