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Chain of Custody
[ This Area For Lab Use Only ]
Job Number:
Job Name:
Collector:
Mobile:
Email:
Date Collected:
Note:
Analysis Type
Analysis Description
Turnaround
Accepted Media Types
Spore Trap
S
Identification & Enumeration of Fungal Spores
24 Hour
Air Cassettes, Impact Slides
S+
Spore Trap Analysis with Dander, Fiber, and Pollen counts
24 Hour
Air Cassettes, Impact Slides
Direct ID
D
ID & Semi-Quantative Enumeration of spores and mycelium
24 Hour
Bio-Tape, Tape, Swab, Bulk, Agar Plate
D+
Direct Analysis with Fully Quantitative spore count
24 Hour
Bio-Tape, Tape, Swab, Bulk, Agar Plate
Culture
C1
Identification & Enumeration of Mold only
7 Day
Air Plate, Agar Plate, Swab, Bulk
C2
Identification & Enumeration of Bacteria only
4 Day
Air Plate, Agar Plate, Swab, Bulk
C3
Identification & Enumeration of Mold and Bacteria
7 Day
Air Plate, Agar Plate, Swab, Bulk
C5
Coliform Screen for Sewage Bacteria
2 Day
Agar Plate, Swab, Bulk
Particle
TPA
Total Particulate Analysis, ID & Count (Does Not Include Mold)
24 Hour
Air Cassettes, Impact Slides, Bio-Tape
#
Number
Sample
Analysis
Volume
Notes
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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Received By:
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