ASBESTOS CHAIN OF CUSTODY

   

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Please complete
all *Required fields
Federal ID # 175661 *Approx. Age of Building  
37391 Camp Creek *# of Floors  
Springfield, OR 97478 *Construction Type  
Bill to: realestateinspector1@gmail.com *Inaccessible Area  
Email Reports to: *Building Use: Current & Past  
realestateinspector1@gmail.com *Reason for Activity  
*Customer's Email: *Building Square Feet  
  *Proposed Start Date  

 

Customer Name Testing  Site Address City State Zip Today's Date
Sample # Condition *Friable At
Demolition
Material Type Material Location Color Sq. Ft.


*Friable = Generally does the sample break apart, crumble, become air-borne easily.