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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_000175453
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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 # 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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NYC-WTC_000175453Source: NYC Law Department, mirrored locally

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