Sample Information – Asbestos Analysis Name: * Order Number: Email: * Phone: * (###) ### #### Billing Address: * Address 1 Address 2 City State/Province Zip/Postal Code Country Address Sampled: * Address 1 Address 2 City State/Province Zip/Postal Code Country Sampled By: * Sampling Date: * MM DD YYYY Sample Location 1: Material Description 1: Sample Location 2: Material Description 2: Sample Location 3: Material Description 3: Sample Location 4: Material Description 4: Sample Location 5: Material Description 5: Sample Location 6: Material Description 6: Sample Location 7: Material Description 7: Sample Location 8: Material Description 8: Sample Location 9: Material Description 9: Sample Location 10: Material Description 10: Sampling guide: One material per sample wherever possible. Clear notes and descriptions where composite materials are present. - Textured plaster – chunky is better than powdered. Fibres are generally sparse and may not be evenly distributed so take a composite sample from a number of different places in the room. 3g minimum. - Vinyl – sample right to the floor boards including any adhesive or old vinyl and backing layers. - Fibrous cement board – break off a piece at least 1cm square. Be aware that different boards may have been used on the one construction so consider sampling more than one sheet. Thank you!