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Bulk sample data and chain of custody, PS 131M

Machine-extracted title · confidence 90%

Form recording bulk sample collection details, including fiberglass analysis, for samples taken at PS 131M in August 2002.

NYC-WTC_000175424–000175425
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Scanned page image, NYC-WTC_000175424
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document Page / ot ATC ASSOCIATES INC BATCH NO

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1 Client NYC BOh 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 Jimmy Ghoy ■y ,

5 Date 6 Building Name PS 131 M

Sampling Areas 8 Turnaround Time □ stat □ □ 72 HRS □ OTHER 9 Comments (Field) Analyzed all of them for fiberglass 10 Time in / Time out □ 6 HRS 048 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS HA# NUMBER DESCRIPTION NUMBER PS 131M 8/22/02- /6. 4-55 Fiberglass- <9/ P S I31M 8/22/02 Settled Dust a /a Fiberglass 9 Settled Dust PS 131M 8/22/02- Fiberglass- PS 131M-8/22/02 Settled Dust AJA Fiberglass- Settled Dust PS 131M-8/22/02- 3 Fiberglass- PS 131M 8/22/02 Settled Dust AAA Fiberglass Settled Dust 3 PS I31M 8/22/02 Fiberglass Settled Dust 4Z6 P S 131M 8/22/02- Fiberglass- P S 131M 8/22/02 Settled Dust AJL Fiberglass- PS 131M-8/22/02 Settled Dust AJA Fiberglass- Settled Dust / ajA 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 ot Submiltal FIELD WALK. IN tZ US MAIL FED X OTHER

LAB INFORMATION 24 Name and Signature 25 Date 26 Time 27 Comments (Lab)

24a Analyzed By /7 24b Analyzed By 24c QCBy

Flcnamc P 1USERS'DATA\WP961WP\FORMS\NY 13\LS Fonn VY 13

CONFIDENTIAL, CITY_21MC100_003430993 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175424

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NYC-WTC_000175424Source: NYC Law Department, mirrored locally

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