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Bulk sample data and chain of custody form, March 2002

Machine-extracted title · confidence 95%

Chain of custody form documenting bulk samples collected at 90 Trinity Place for AHERA reinspection in March 2002.

NYC-WTC_000175672
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Scanned page image, NYC-WTC_000175672
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NYC 9/11 Public Portal Document Page A of wa . ~ ATC ASSOCIATES INC. BATCH NO. ae OR BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Chent: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project # 14584-0864 4. Project Manager:Yiannis Efstathiou 2a. Project Address:90 Trinity Place, New York, NY 10006 4a. Investigator: Yiannis Efstathiou 35. Date: 6. Building Name:M894 8. Turnaround Time: 9, Comments (Field): ‘ Cistat ([]24Hrs (7) 72HRS ([] OTHER Analyzed all them for fibergiass 3}7 lo2 7. Sampling Areas: 10. Time in / Time out: Cleurs ([JasHours [] NorMAL SAMPLE 1D MATERIAL LOCATION FLOOR RESULTS HAG NUMBER DESCRIPTION NUMBER ~ M894-3/7/02- Ist floor tobby Settled Dust : Fiberglass-¢ Ole uS { oor -3/7/02- , a M894-3/7/02 Cafe fora L J Fiberglass- Og Settled Dust Salen +) M894-3/7/02- . J , AusSytor itty \ J ; Fiberglass-C) Settled Dust fl OC 4 ; 'M894-3/7/02- . Che tsar conta POL \ Fiberglass-Qp Settled Dust docs M894-3/7/02- ard floor hall way Fiberglass- 65 Settled Dust Gl 2) "M1894-3/7102- 5th floes hel lwae) Fiberglass-Q¢ Settled Dust - . i f 1) 'M894-3/7/02- Fh floor hal | wee Fiberglass-¢°7 Settled Dust (lex M894-3/7/02- . O kee Om #SOZ Fiberglass-OX Settled Dust (sec M894-3/7/02- Ok flee y ho. (poay Fiberglass-OyF Settled Dust } ‘hoe’ M894-3/7/02- 124. freor Ae [waif Ss Fiberglass-/() Settled Dust lee CHAIN OF CUSTODY \~ / 17. Relinquished By: 18. Date:/19.. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: 4 ' ‘ FIELD a LiL. ttle LY Row ty 3f> [o AAP WALK IN V Vi rl “a vod Su OTHER LAB INFORMATION 24, Name and Signature: 25. Date:|26. Time: 27. Comments (Lab): 24a. Analyzed By: ZL. Lf. Lay A Gee feDN bALe a /O fe /7 24b. Analyzed By: 24c. QC By: Filename: P:\USERS\DATA\WP96\WP\FORMGWN Y-13.XLS Form NY-13 CONFIDENTIAL, CITY_21MC100_011531614 SUBJECT TO PROTECTIVE ORDER NO. 2, NYC-WTC_000175672 SEPT. 2008

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NYC-WTC_000175672Source: NYC Law Department, mirrored locally

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