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National Loss Control Service Corporation
ENVIRONMENTAL SCIENCES LABORATORY, K-2 Rte. 22 and Kemper Drive
Long Grove, 1L 60049 312/540-2488
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ANALYSIS REQUEST
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DATE SAMPLES TAKEN DATE RECEIVED BY LABORATORY
DATE COMPLETED ANALYTICAL METHOD:
NC 82-5 10-84 1M
COMMENTS:
SWRf/Asbestos 1342
IB 000476
PRINTED IN U.C- A.