Document 4QaDkNBrB83q9GVOvmQ8ZVB9j

KC'K r0: Coi sanding Officer Muv.iL regional Medical Center Pori smooth, Virginia 237Oy A - UQ'i S f i * Kit l abors lory Division Nav/ t-'nviionnuntal !u:aith Center 3333 Viiu1 St. Cincinnati, Ohio 45320 i (IMG CONTRACTOR ANS A 0 3 $ S 4, MAMufACTURIM'J PLANT NAME ANl'i A>'!'HfSS con n'Acr humue" 5. END IUW AND/OR PROJECT 16, MAM IliAL TO OE TEST LU 10A. QUANTITY SUBMITTED ia. purcma- ro from on source 8 . s M Pl.T 7 . l w I 0 NUMUER a. REA SOU FOR SuOMLITAl 9. UAH SUfIMI 1,111 II. O'.IANl l fY REPRESENTED 12. SPEC A \Mt HO AMO/OK DRAWING NO ft RLV FOR SAMPLE ft DATE i -i. smi'WtN f m i moo IS. DATE SAMPLED AMO SI.U'Ul f f. D UY 16. REMARKS AND/OR SPECIAL IN SI RUCTIONS AND/OR WAIVERS The test results pertain to samples la through 19a originally submitted on 8 Sep 1977 by L.P,Hackler, Safety Director,EIAVSHIPYDNOR, The percentages are based on the total fiber content.ifif each sample. The estimated accuracy of the percentages in 2()% Isaac: -D- I,. ENO REPORT OF TEST TO SECTION & RESULTS or TEST iConlinue nn |./u.n iAl# pji'tr I/ nii'rr tpjte ll re-iuir,;l) I. OATE SAMPLE RCCEIvtD 2. '"OA7E*Ri:SULTs'REPLii<Tib 3. LAO REPORT NUMUL'R __ 9/14/77..... _ ________ ___________ l/l?/77__, 4. TEIU PERI'ORMED RESULTS OF TEST SAMPLE RESULT Fiber analysis using Dispersiou Staining 7262-lUr_28 IUQUIREMENTS Sample /.' Asbestos Fibers Sample % Asbestos Fibers DATE la >95 2a <20 3a >95 4 a >95 5a >95 f>a . 20 (.a (cord) >95 ii v \o 7.0 TYTED NAME AtlO TITLE OF KSON CONDUCTING 11: 8a 9a 10a 11a 12a 17a 18a >95 >95 >95 795 >95 50 50 9/30/77 Walter F. Vogl LCDR HSC USN idlC.Jiiut._________1 ' 'i .',2b 1222 S 102-lF-012-0600 /, 'y l ' REPLACES DO FORM 1122. I JIJL Oft. V/UIUlCIlIj_IlSS OUtlS9ODLEET7,M . This is a certified true copy E.-t. "SMITH------LCDR MSC, USN 3 I i' .0.1 ti & iii a; f-'-fTF til f