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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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NYC 9/11 Public Portal Document

ASBESTOS ANALYTICAL REPORT DEP ASSESSMENT DIVISION OF EMERGENCY RESPONSE AND TECHNICAL ASBESTOS LABORATORY 96-05 HORACE HARDING EXPRESSWAY CORONA, NEW YORK 11368 (718) 595-6309 FAX# (718) 595-6307 ELAP #11045 TEST METHODS: 1) 40 CFR Part 763, Subpart F, App. A Method 2) Polarized Light Microscopy plus Stratified Point-Counting 3) EPA/600/R-93/116 Date collected: 03/21/03 Incident ti: TRU0273MN03 Received: 03/27/03 Inspector R. RAMMOHAN Analyzed: 03/27/03 Premise 114 LIBERTY STREET Boro Manhattan Analyst G. ROMAN

Client #:

30327/AD78004 30321/AC7800S DEP Sample #:

30327/376 3C327/377 Laboratory #:

Location Sampled: • PIZZARIA ON TAELE ON DROP CEILING

Color: BEIGE BEIGE

Homogenous: Yes No Yes Yes Asbestos Prevennt:

Results (t)

A=Site 44.5 Chrysotile 3.1 Cellulose trace Quartz 65.4 Fibrous glass33.3 Matrix 31.5 Matrix 22.2

Comments: 1.sample #005 has 2 types of material 2.This report bas results for the beige cere;titia'Js naterial. Reviewed by: Laboratory Direct

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

NYC-WTC 000100741

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NYC-WTC_000100741Source: NYC Law Department, mirrored locally

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