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Asbestos chain of custody form, May 2002

Machine-extracted title · confidence 96%

Chain of custody form for asbestos samples commissioned by the building management at 211 West Broadway.

NYC-WTC_000094546–000094565

Folder label: “211 WEST BROADWAY Block: 178 Lot: 7502

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NYC-WTC_000094551 SciLab Job#: 201111307 Client Name: R.K.M. Inc. Table I Summary of Bulk Asbestos Analysis Results 211 West Broadway SciLab Client HG Sample Heat Acid Lasofuble Sample Samptet Area Weight Sensitive Satuble Non-Asbestes Asbestos by Asbestos by 8 Locatian (gram) Organic % Inorganic % Inorganic % PLM/DS TEM 01 110201 TDOS _- — —- woes NA NVA 4th Floor Livingroom Window Sill Area 6x6 Wipes 02 116201 TDO6 _ — -- — NA NVA Sth Floor Livingroom Wiadow Sill Area 6x6 Wipes 03 110201 TDO? _- —- —_ -—- NA NVA 6th Floor Livingroom Window Sil! Area 6x6 Wipes 04 110201TDO8 noo ~— ---- ae NA NVA Debris "Outside" 4th Floor Window Sill Area 6x6 Wipes Asalyzed by: Mark Peysakhov “___; Date Analyzed. (1/4/01 *NADYNSD = uo asbestos detecied; NA = coi analyzed, NA/PS = aot analyzed / positive stop; PLM Bulk Asbestos Analysis by EPA 600¥M4-82-020 per 40 CFR 763 (NVLAP Lab #200546-0) and ELAP PLM Analysi Protocol 198.1 for New Yark samples (NYSDOH ELAP Lab # | 1480); ELAP TEM Analysis Protocol 198.4 for negative NY NOB samptes: Note: PLM is not coasistently ecliable in detecting asbestos in lloor coverings and similar non-friable organically bound materials. TEM is currently the only method that cat be used to determiuc if this material can be considered or treated as nan-asbesios-containing in New York Stats (also see EPA Advisary for fhoor tile, FR 59, 146, 38970, 8/1/94). National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced excep in fall without the approval of the laboratory. This PLM report relaics ONLY to the dems tested. AIBA# 102843; VT Cert “¢- NVA=No Visible Asbestos . Reviewed By: g aad NYC 9/11 Public Portal Document @5/19/2882 09:22 2129667831 SAM NEWHOLISE PAGE 95

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NYC-WTC_000094551Source: NYC Law Department, mirrored locally

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