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Fiberglass bulk sample chain of custody, PS 131M, Aug 2002

Machine-extracted title · confidence 95%

Chain of custody form documenting the collection and tracking of bulk dust samples for fiberglass analysis at P.S. 131M.

NYC-WTC_000175391–000175392
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NYC 9/11 Public Portal Document

Page of 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 Manager: Yiannis Etstathiou

2a. Project Address: 100 Hester Street, New York,NY 4a. Investigator: JI

5. Date: 6. Build ing Name: P.S. 131 M 8. Turnaround Time: 9. Comments (Field): ’ □ stat □ Q 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10. Time in/Time out: □ 6 HRS □ 48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S. 131M-8/22/02- X/T? • Fiberglass- /( P.S. 131M-8/22/02- Settled Dust / AJA Fiberglass- P.S. 131M-8/22/02- Settled Dust AJA Fiberglass- 2 Settled Dust / P.S. 131M-8/22/02- 7^ Fiberglass- P.S. 131M-8/22/02- Settled Dust AJA /'u Fiberglass- / P.S. 131M-8/22/02- Settled Dust AlA Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- /JA- P.S. 131M-8/22/02- Settled Dust AJA Fiberglass- Settled Dust P.S. 131M-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 /I Submittal: FIELD /yj CO WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab): 24a. Analyzed Sy. - AJ- AL.-. ■ A - - /I 24b. Analyzed By: 24c. QC By:

Filename. P:MJSERS\DATA\WP96\WP'.FORMStNY-13.XLS Form NY-13

CONFIDENTIAL, CITY_21MC100_011530626 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175392

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NYC-WTC_000175392Source: NYC Law Department, mirrored locally

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