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Soil bulk sample chain of custody form, PS 89M, Jan

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Chain of custody form for soil bulk samples collected at PS 89M as part of an AHERA reinspection in January 2002.

NYC-WTC_000174739
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NYC 9/11 Public Portal Document

Page of ATC ASSOCIATES INC. SOIL BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM BATCH NO. zaMs PROJECT INFORMATION i; Client: NYC-BOE 2, Project Mam AHERA REINSPECTION 3. Project# 14584-081 4, Project Manager: ANDR.EAS ANDREOU

2a. Project AddresstPOl Warren Street, Mew York, NY I02S2 4a. InvestigatorY. Efstathioi. / i

5. Date; 6. Building Name:P.S. 89M 8- Turnaround Time: Cnmments (Field): ' □ stat □ 2- HRS □ 72 HRS OTHER m-L— 7. Sampling Areas: Entire IC. Time in! Time out: O 6 HRS □ 48 HOURS □ NORMAL jL S.4MPLE ID MATERIAL LOCATION * FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS 89M - 11/2 .

iL Soil -Of PS89M -11/2- Settled Dust

■Soil Settled Dust PS89M -11/2- rTvtt lT/oife' .1^^ Soil -03 Settled Dust 4ro/'i( _ PS89M -11/2-

Soil-04 PS 89 M - 11/2 - Settled Dust ND Soil - 05" Settled Dust PSa9M -11/2-

Settled Dust /kfD

+

CHAIN OF CUSTODY 17 Relinquished By IS Date: 19. Time: 20. Received By 21. Date: 22. Time: 23. Method of Stibmittai: FIELD "/ y z53d) IttV WALK IN US ma;l u FED-X OTHER

LAB INFORMATION 24. Name and Signature. 25 Date: 26. Time: 27. Comments (Lab): ;24a. Analyzed By: 6 24b. Analyzed Bv: 24c QC By:

Filsnan-ic: l’;\U5£KS\DATA\WPy6\WP\FOR.MS\NY-i;i.XLS ■Form NY-13

CONFIDENTIAL, SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008 CITY_21 MC100_014660048

NYC-WTC_000174739

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NYC-WTC_000174739Source: NYC Law Department, mirrored locally

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