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Bulk sample data and chain of custody, P.S. 126M, Aug

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Form listing bulk samples collected for fiberglass analysis at P.S. 126M on August 21, 2002.

NYC-WTC_000175255–000175256
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; Page _/ of 4 AT C ASSOCIATES IN on . BATCHNO. NYC 9/11 Public F Portal Document 207 8S BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM “PROJECT INFORMATION ; 1. Client: NYC - BOE 2. Project Nam PS 126M | 3. Project # 14584-0872 4, Project Manager: Yiannis Efstathiou 2a. Project Address:80 Catherine Sweet New York,NY 4a. Investigator:Herant Antonyan 5. Date: J 6. Bui ne Name: P.S. 126M 48. Tumaround Time: - Comments (Field): ; y ‘ : Cc] STAT f] C] 72 HRS ‘OTHER Analyzed all of them for fiberglass safer rs mpling Areas iL, BY Ka b 10. Time in / Time out: TBrorpdoe Khe 4, oly C]eurs [Jasuours []) norma *“3 SAMPLE ID MATERIAL LOCATION . FLOOR RESULTS HAH NUMBER |. DESCRIPTION : NUMBER P.S. 126M-8/21/02- ; | 2st flows Aas; - Fiberglass- .0/ Settled Dust LL foe -) tL A P.S. 126M-8/21/02- ] L454. Shor hie, Jheag ° — Fiberglass- 0 9_ Settled Dust foo r Hoar) L AIK 7 P.S. 126M-8/21/02- = 4, Le bers a } Fiberglass- 6.3. Settled Dust OO Lh ) cA LIA cd P.S. 126M-8/21/02- ; . , : , Fiberglass- of Settled Dust © puck forium Lhbac wm KIA , P.S.126M-8/21/02- | — Let Sho a C (ass shoom JAS y WF Fiberglass- 6.5 Settled Dust ; Leo r / . A - - y cad {7 ‘ P.S. 126M-8/21/02- Ls f Vows Ssroom /23\ / + Fiberglass- pv Settled Dust oo — P.S. 126M-8/21/02- : . . beret Hor Fad Leflii Fiberglass- 7 7 Settled: Dust - Ck p/ ° JA P.S. 126M-8/21/02- - - ict for CSast(eon 20 3 ) " |\Fiberglass- © 2 Settled Dust heer) om 4 JL\ P.S. 126M-8/21/02- 2 v7 CO CLAS ASS SOL py aw he “ Fiberglass-. Settled Dust. (Weer Leer) 2 ADS . P.S. 126M-8/21/02- |. Fiberglass- /O Settled Dust . bor ; CHAIN OF CUSTODY Please call Project Manager 646-772-1155 17. Relinquished By: . [18. Date:}19. Time: 20. Received By: 21. Date: 22. Time: 23. Methad of A . : ; . Submittal: . A BS} . ‘ : FIELD eo ae 7 EL Lua are ne ¢/20 for 7700 \\WwaLKIN : " . . US MAIL | |FED-X OTHER ° LAB INFORMATION | 24, Name and Signature: 25. Date:|26. Time: 27. Comments (Lab): 24a. Analyzed By: 4. L- ; Lar TE RO} Ceilee - Vs (S PLA4 24b. Analyzed By: [ " 124e. QC By: - Filename: PAUSERS\DATA\WP96\WPFORMSINY-13.XLS Pom NY-13 CONFIDENTIAL, CITY_21MC100_011531437 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008 NYC-WTC_000175255

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NYC-WTC_000175255Source: NYC Law Department, mirrored locally

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