NYC-WTC_000175391
Chain of custody form documenting the collection and tracking of bulk dust samples for fiberglass analysis at P.S. 131M.
3 shared non-person entities · similarity 0.976
machine-extracted · confidence unavailable · Check page ↗Document / 2 pages
Bulk sample data and chain of custody, P.S. 131M, Aug
Machine-extracted title · confidence 90%Form listing bulk samples collected for fiberglass analysis at P.S. 131M in August 2002.
NYC-WTC_000175271–000175272Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
Page of
/I fC ASSOCIATES INC. BATCH NO.
BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam PS 131 M 3. Project # 14584-0875 4. Project ManagerYiannis Efstathioa
2a. Project Address: 100 Hester Street, New York,NY 4a. Investigator: Xrmmy-Gho^ /
5. Date: 6. Building Name: P.S. 131 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 □ NORMAL
SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S. 131M-8/22/02- Fiberglass- /( Settled Dust P.S. 131M-8/22/02- / Fiberglass- P.S. 131M-8/22/02- Settled Dust AJA / Fiberglass- 3 Settled Dust P.S. 131M-8/22/02- Fiberglass- y/t P.S. 131M-8/22/02- Settled Dust / AJA Ju Fiberglass- / P.S. 131M-8/22/02- Settled Dust / AJA Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- P.S. 131M-8/22/02- Settled Dust A2A Fiberglass- Settled Dust P.S. 13fM-8/22/02- Fiberglass- Settled Dust P.S. 131M-8/22/02- 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 A / Submittal: FIELD /rye) WALK IN US MAIL FED-X OTHER
LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab): 24a. Analyzed By: Z” • AL e-. ■ ./< - /ArA 1 /I 24b. Analyzed By: 24c. QC By:
Filename: P:\USERS\DATA\WP96\WP'.FORMS\NY-I3.XLS Form NY-13
CONFIDENTIAL, CITY_21MC100_011530588 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000175272
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NYC-WTC_000175272Source: NYC Law Department, mirrored locally
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