CHAIN OF CUSTODY Aemtek No:___________________   4630 Warm Springs Blvd., Suite A Phone: 510-979-01979   Fremont, CA 94539 Fax: 510-668-1980 Contact Information Project Information Company:  Contact:   Project ID/Phase: Address:    Site: Phone:  Fax:  E-mail:    Report preference (circle one) 1. Fax 2. e-mail 3. both fax and e-mail Sampled By: Date: / / Sample ID Sampling Location Volume(L) or Area (sq. in.) Analysis Required Sample Type Turn Around Time Notes Please Use Codes on the right or Specify                                                                                                                                                                         Relinquished by Date & Time Recieved by Date & Time Notes:                 Call 510-979-1979 with your specific analytical needs and concerns. To ensure quality service, we reserve the right to reject inappropriately prepared/shipped samples. All analytical services subject to our terms and conditions. Digital photomicrography order must be placed before report being issued. Culture media and swab samplers are available and free of charge if returned to the lab for analysis. We customize report format upon request. If no turn around time indicated, standard report time applies. Samples received after 6:00 pm on business days or in the weekedn will be logged in the next business day. For "same day" service, samples must be received before 10 am; for "6 hours", 12 pm; for "3 hours", 3:00 pm. Our business hours are 9:00 am - 6:00 pm, PST, Monday - Friday.

Sample Type Codes A - Air B - Bulk C - Culture D - Dust S - Swab s - Tape W - Water Other: Analysis Codes FDE - Fungi Direct Exam: identifying fungi to genus or spore type. Rush services available FCG - Fungi Culturable, identified to Genus only. FCS - Fungi Culturable, common Species identification without subculturing FCA/A - Aspergillus species ID, others to Genus FCS/P - Penicillium species ID, ohters to genus FCAS - Fungi Culturable, All Species identification excluding yeast, with subculturing if necessary. May need 10-21 days DNA-ID - Microbial species identification-DNA sequancing. EBC - Environmental Bacteria Count and Gram Stain LED - Legionella Detection and quantification SSC - Sewage Screen for total Coliforms, E. Coli , and enterococci. P/A Allergen Screen - Testing for five common indoor allergens: dog, cat, cockroach, and dust mites ( Der f 1 and Der p 1)). Turn Around Time Codes STD: standard/default, 2 days for direct, 6-14 days for culturable, 2-3 days for bacteria detection. 5D - 5 days 3D - 3 days 1D - 1 dayr SD - Same day 6H - 6 hours 3H - 3 hours WH - Weekend or holiday services. Prior notice required.