7/23/2019 Form 403A.28 Scope Template Original 11-21-13

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Certificate # Pending

Scope of Accreditation

For

<Laboratory Name>

<Address><City, State Zip>

<Laboratory Contact>

 <Phone>

In recognition of a successful assessment to ISOI!C "#$%&'%$$& and the re(uirements of the )o)

!n*ironmental Laboratory Accreditation Program +LAP- .$/ )o) !LAP0 as detailed in the )o) 1uality

Systems 2anual for !n*ironmental Laboratories +)o) 1S2 3&0 based on the 45I Standard 6 !n*ironmentalLaboratory Sector, 3olume " 7 2anagement and 4echnical -e(uirements for Laboratories Performing

!n*ironmental Analysis, Sept %$$8 +!L63"6%$$809 accreditation is granted to <Laboratory Name>  to

 perform the follo:ing tests'

Accreditation granted through' <Date Granted Through>

Teting ! "nironmenta$

Non!Potab$e %ater

Techno$ogy &ethod Ana$yte

Preparation &ethod Type

Drin'ing %ater

Techno$ogy &ethod Ana$yte

Preparation &ethod Type

;orm .$/A%= 7 Original 7 ""%""/

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7/23/2019 Form 403A.28 Scope Template Original 11-21-13

http://slidepdf.com/reader/full/form-403a28-scope-template-original-11-21-13 2/2

Certificate # Pending

So$id and Chemica$ &ateria$

Techno$ogy &ethod Ana$yte

Preparation &ethod Type

(io$ogica$ Tiue

Techno$ogy &ethod Ana$yte

Preparation &ethod Type

Air and "miion

Techno$ogy &ethod Ana$yte

Preparation &ethod Type

 5otes'

"0 4his laboratory offers commercial testing ser*ice

;orm .$/A%= 7 Original 7 ""%""/

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