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Bulk sample chain of custody, PS 131M, Aug 2002

Machine-extracted title · confidence 95%

Chain of custody form documenting the collection and handling of bulk fiberglass samples from PS 131M on August 22, 2002.

NYC-WTC_000175452–000175453
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Scanned page image, NYC-WTC_000175452
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NYC 9/11 Public Portal Document

Page / of ATC ASSOCIATES INC BATCH NO

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1 Client NYC BOE T Project Nam PS 131 M 3 Project# 14584 0875 4 Project Manager Yiannis Efstathiou

2a Project Address 100 Hester Street New York NY 4a In estigator ImmyGhoy ■ >

5 Date 6 B ilding Name PS 131 M 8 Turnaround Time 9 Comments (Field) ' □ STAT □ 0 72 HRS 0 OTHER Analyzed all of them for Fbergl ss 7 Sampling Areas 10 Time in / Time out 06 HRS 048 HOURS 0 NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS HA# NUMBER DESCRIPTION NUMBER PS 131M 8/22/02 Fiberglass <9/ Settled Dust P S 131M 8/22/02 Fiberglass 2_ Settled Dust PS 13IM 8/22/02 Fiberglass Settled Dust PS 13IM 8/22/02 Fiberglass Settled Dust PS 13IM 8/22/02 Fiberglass ^5-" Settled Dust 3 P S 131M 8/22/02 3 Fiberglass Settled Dust P S 131M 8/22/02 Fiberglass Settled Dust AJA P S 131M 8/22/02 Fiberglass Settled Dust PS 13IM 8/22/02 Fiberglass Settled Dust PS 131M 8/22/02 A>7 / Fiberglass Settled Dust CHAIN OF CUSTODY Please call Project Manager 646 I'll 1155 17 RI qu shed By 18 Dat 19 Tm 20 Rece ed By 21 D 1 22 Tm 23 Method of S bm nal -7^- FIELD /S'JO WALK IN \7 US .MAIL FED X OTHER

LAB INFORMATION 24 Name d S gnatu e 25 Date 26 Tme 27 Comments (Lab)

24a A alyzed By < / 24b A ly d By 24 QCBy

Fl am P\USERS\DATA\WP96 WP\FORMS\NY 13 XLS F ™ VY IJ

CONFIDENTIAL, CITY_21MC100_003431107 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175452

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NYC-WTC_000175452Source: NYC Law Department, mirrored locally

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