NYC 9/11 Public Portal Document
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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 # 14o84 0873 4 Project Manager Y ann s Elstath o
2a Project Address 100 Hester Street New York NY 4a In estigator
5 Date 6 Build mg Name PS 131 M 8~TuniarounTTn™ 9 Conime ts (Field)
7 Sampling Areas
□ STAT □ □ 72 HRS □ OTHER Analyzed all of them f
10 Time in / Time out
f be gl ss
□ 6 HRS □ 48 HOURS □ NORMAL
SAMPLE ID MATERIAL LOCATION FLOOR RESULTS
HA# NUMBER DESCRIPTION NUMBER
PS 131M 8/22/02
firn /
Fiberglass /( Settled Dust
PS 131M 8/22/02
f
Fiberglass
P S 131M 8/22/02
Settled Dust AJA
/
Fiberglass 3 Settled Dust
P S 131M 8/22/02
Fiberglass jA
P S 131M 8/22/02
Settled Dust /
AJA
Fiberglass / 5^
P S 131M 8/22/02
Settled Dust
/U /
224
Fiberglass
PS 131M 8/22/02
7^ Settled Dust x/2
Fiberglass Settled Dust 3'^ /*» AJA
P S 131M 8/22/02
Fiberglass Settled Dust
P S 131M 8/22/02
Fiberglass Settled Dust
PS 131M 8/22/02
Fiberglass Settled Dust
CHAIN OF CUSTODY Please call Project Manager 646 772 1155
17 Rei q shed By 18 Date 19 T me 20 Rec ed By 21 Dale 22 Tm 23 Method f
/I S bm n I
FIELD
f/ >7-/0 i
/S J 0 WALK IN
US mail
FED X
OTHER
LAB INFORMATION
24 Nam nd S gnatu 75 D te 26 Time 27 Comments (Lab)
24 Analyzed By A' // 0<- A
24b Analyzed By
24c QCBy
Flenam P USERS'DATAWP96\WP FORMSINY 13 XLS F rm NY 13
CONFIDENTIAL, CITY_21MC100_003431108
SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000175453
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