How To Do Toxic Mold Inspection of
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EnviroFry

CHAIN OF CUSTODY form for Bio-Tape Surface Samplers
This chain of custody is the mold laboratory form that is completed by the tester (property owner, manager, or agent or employee thereof, or mold inspector or environmental hygienist), who takes the mold samplings with Surface Samplers, and who records the details of each sampling on this form. This form also serves to document both the transfer of custody of surface samplers directly from the tester to the mold lab, and their receipt by the lab.  Please mail the collected Surface Samplers, this completed Chain of Custody form, and your Enviro Dangers lab fee payment receipt to the mold lab address provided to you in your lab fee payment receipt.
Please print the requested information below with a black ink pen neatly and legibly.


Testerís name:  ___________________________________________________________________________

Testerís signature:__________________________________________  Date: ________________________

Client name: _____________________________________________________________________________

Client address:_________________________________________________________________________________

Testerís  Daytime Phone: (________) ___________________________ 

Testerís FAX (________)________________________

Testerís Email:_________________________________________________________ 

 Date and time of sampling_____________________________________________

Sampling physical address___________________________________________________________________

City ________________________________________ State ______________   Zip Code________________

Type of laboratory mold analysis desired:  ____ Non-Viable (immediate)      ___Viable (grow for 7 days)
 

Sample Number

Specific Sampling Location

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Hire mold consultants Phillip Fry and Divine Montero  Fryto find air conditioning mold, workplace mold, and mold hidden inside the walls, ceilings, floors, crawl space, attic, and basement of your house, condominium, office, or other building. Mold Training  Mold Inspector Directory  Industrial Hygienist Training  Industrial Hygienist Directory  Lead Test Kits  Mold Fogging Machine  San Diego Mold Removal  Mold Test Dallas Texas  Mold Inspection Dallas Texas  Houston Toxic Mold Testing  House Mold Testing Texas  Mold Attorney

Pictures and Page Content Copyright 2013, 2014 by Mold Experts Phillip Fry and Divine Montero Fry. All Rights Reserved. You may use our mold pictures and mold inspection advice page content on your website provided that you include a published, prominent, clickable link credit for the pictures and content to Building Mold Inspection.  This website was  last updated on Jan. 7, 2014.