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Document / 16 pages

Asbestos bulk sample chain of custody form, 114 Liberty Street,

Machine-extracted title · confidence 90%

Chain of custody document tracking the collection and transport of asbestos bulk samples for analysis.

NYC-WTC_000100730–000100745

Folder label: “114 LIBERTY STREET 1001041, 52/7502

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Scanned page image, NYC-WTC_000100740
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

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ASBESTOS ANALYTICAL REPORT DEP DIVISION OF EMERGENCY RESPONSE AND TECHNICAL ASSESSMENT ASBESTOS LABORATORY 96-05 HORACE HARDING EXPRESSWAY CORONA, NEW YORK 11368 (718) 595-6309 FAX4 (718) 595-6307 ELAP # 11045 TEST METHODS: 1) 40 CFR Part 763, Subpart F, App. A 2) Polarized. Light Microscopy plus Stratified Point-Counting Method 3) EPA/600/R-93/116 Incident #: TRU0273MN03 Date Collected: 03/27/03 Inspector : R. RAMMOHAN Received: 03/27/03 Premise 114 LIBERTY STREET Analyzed: 03/27/03 eoro Manhattan 7~.nalyst 0. ROMAN

Client #:

DEP Sample #: 30327/AC78001 30327/A078CO2 30327/A078003

Laboratory $ : 30327/373 30327/374 30327/375

Location Sampled: PIZZARIA ON FLOOR PIZZARIA ON F:,OOR PIZZARIA ON FLOUR

Color: BEIGE BEIGE BEIGE

Homogenous: Yes Yes Yes Asbestos Present: Yes Yes Yea

Results (t)

A.' oeite 44.5 Amosite 40 Amosite 50 Fibrous glass22.2 Cell-aloee trace Celluldse trace Matrix 33.3 Fibrous glass30 Fibroue.51aas25 Matrix 30 Matrix 25

Comments: 1.Sasnple #005 has 2 types of material.

2.Thi s report has results for the beige cemnti ti ous materi al . Reviewed by: Laboratory Direct

This test report may not be reproduced except with the written approval of this laboratory. The test report relates only to the item(s) listed and does not represent a product endorsement by NVLAP or any other U.S. Government agency.

NYC-WTC 000100740

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NYC-WTC_000100740Source: NYC Law Department, mirrored locally

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