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 1/2
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 ðod Ana$yte
Preparation ðod Type
Drin'ing %ater
Techno$ogy ðod Ana$yte
Preparation ðod Type
;orm .$/A%= 7 Original 7 ""%""/
Page " of %
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$ogy ðod Ana$yte
Preparation ðod Type
(io$ogica$ Tiue
Techno$ogy ðod Ana$yte
Preparation ðod Type
Air and "miion
Techno$ogy ðod Ana$yte
Preparation ðod Type
5otes'
"0 4his laboratory offers commercial testing ser*ice
;orm .$/A%= 7 Original 7 ""%""/
Page % of %