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Bulk sample data and chain of custody, PS 234M

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Batch data and chain of custody form for bulk samples from P.S. 234M analyzed for fiberglass fiber content by ATC Associates.

NYC-WTC_000175981–000175984
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NYC 9/11 Public Portal Document

Page of

re ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Client: NYC - BOE 2 Project Nam AHERA REINSPECTION ,3- Project# 145S4-0823 4. Project Manager: Yianns Efstatiiioii

2a. Project Address.292 Greenwich street, New York, NY 10007 4a. lnvestigator:Chacko Mathew

5. Date: 0. Building Namt.PS234M 8. Turnaround Time; 9. Comments (Field); □ STAT 0 24 HRS 0 72 HRS 0 OTHER Analyzed all of them lor fiberglass 7. Sampling Areas: 10. Time in Time out: O 6 HRS 048 HOURS 0 NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M-3/23/02- -S-o.^nr) 31 Fiberglass- 'i’l Settled Dust PS234M-3/23/02- 3^ Fiberglass- A Settled Dust PS234M-3/23/02- 3J Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02- Fiberglass- Settled Dust PS234M-3/23/02-

Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time; 20. Received By: 21. Date: 22. Time: 23. Method of Submittal:

cLA. FIELD '1,,^ .JsV’- 3 W.ALK. IN US MAIL FED-X OTHER

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

24a. .Analyzed By;

24b. Analyzed By: 24c. QC By:

Filename: P:\USERS\DATA\WP96\WP\FORMS\NY-I3.XLS Form NY-13

CONFIDENTIAL, CITY_21MC100_0 11530651 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175984

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NYC-WTC_000175984Source: NYC Law Department, mirrored locally

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