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Asbestos bulk sample chain of custody, PS/IS 89

Machine-extracted title · confidence 95%

Chain of custody form for asbestos bulk samples collected at P.S. 89 for AHERA reinspection.

NYC-WTC_000174693
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Scanned page image, NYC-WTC_000174693
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Page / of / ydrc ASSOCIATES INC. BATCH NO. . —>

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-08IS 4. Project Manager: ANDREAS ANDREOU

2a. Project Address:201 Warren Street, New York, NY 10282 4a. Investigator:Yiannis Efstathioii

5. Date: 6. Building Name:P.S. SQM 8. Turnaround Time; 9. Comments (field): I Q STAT Q 24 HRS Q 72 HRS Q OTHER 7. Sampling Areas:Backbags 10. Tii^in / Tirde out: □ 6 HRS Das HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS89M -1/11/02-

Tape- Settled Dust HP PS 89M -11/2- ^577747^^4?/^ 4 JLtside hc-cKb^ Settled Dust PS89M -1/11/02'-

Settled Dust /Vp PS 89M -1/11/02-

Tape - J- Settled Dust PS 89M - 1/11/02 -

Tape - Settled Dust S-<^O ND

CHAIN OF CUSTODY 17. Relinquished By; 18. Date: 19. Time; 20.. Received By: 21. Date: 22. Time; 23. Method of Submittal: FIELD WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature;// 25. Date; 26. Time: 27. Comments (Lab);

24a Analyzed Ry:

24b. Analyzed By: 24c. QC By; /

Filename; P;\USEKS\DATA\WP96\WP\FORMS\NY-13.XLS Form NY-13

CONFIDENTIAL, SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008 CITY_21 MC100_014659867

NYC-WTC_000174693

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NYC-WTC_000174693Source: NYC Law Department, mirrored locally

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Form recording sample identification and custody chain for AHERA reinspection at P.S. 234M.

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