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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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NYC 9/11 Public Portal Document

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ATC ASSOCIATES INC. BATCH NO. , ^^7^ BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam PS 126 M 3. Project # 14584-0872 4. Project Managcr:Yiannis Efstathiou

2a. Project Address:80 Catherine Street, New York,NY 4a. lnvestigator:Herant Antonyan

57Dale: 6. Building Name: P.S. 126 M 8. Turnaround Time: 9. Comments (Field): □ STAT □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10. Time in / Time out: □ 6 HRS 048 HOURS O NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S. 126M-8/21/02- r£>£>/r) Fiberglass- // Settled Dust J P.S. 126M-8/21/02- Fiberglass- / 9 Settled Dust y P.S. 126M-8/21/02- Fiberglass- P.S. 126M-8/21/02- Settled Dust AAJ? I AJA 1 Fiberglass- Settled Dust P.S. 126M-8/21/02- Fibergiass- /A Settled Dust / J /J/- P.S. 126M-8/21/02- Fiberglass- Settled Dust P.S. 126M-8/21/02- Fiberglass- Settled Dust P.S. 126M-8/21/02- Fiberglass- Settled Dust P.S. 126M-8/21/02- Fiberglass- Settled Dust P.S. 126M-8/21/02- Fiberglass- Settled Dust 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. Method of Submittal: FIELD ^4 A WALK IN US MAIL FED-X OTHER .

LAB INFORMATION 24. Name and Signature: 25. Date; 26. Time: 27. Comments (Lab): 24a. Analyzed By: zr/£./"tf-1 “7 A ■ 24b. Analyzed By: 24c. QC By;

Filcnanie: P:\USERS\DATAtWP96\WP\FORMSWY-13.XLS. FomNY'-l3

CONFIDENTIAL, CITY_21MC100_011531438 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175256

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NYC-WTC_000175256Source: NYC Law Department, mirrored locally

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