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Bulk sample data and chain of custody, P.S. 89M, June

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Chain of custody form listing bulk samples collected at P.S. 89M on June 21, 2002, for analysis of fiberglass fiber content.

NYC-WTC_000177212–000177215
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NYC 9/11 Public Portal Document TAHISEFSFATHIRn ATC ASSOCIATES INC(646) -772-1155 Page of 4 BATCH NO. 20552 BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC- BOE 2. Project Nam AHERA REINSPECTION |3. Project # 14584-0819 2a. Project Address:201 Warren strect, New York,NY10282 5. Date: 6-21-02 6. Building Name: P.S. 89M 8. Tumaround Time: STAT 72 HRS • OTHER 7. Sampling Areas: 14. Projeci Manager: Yiannis Efstathiou 4a. Investigator:Mark Nakhumovich 9. Corments (Field): Analyzed all of them for fiberglass 10. Time in / Time out: 6 HRS 48 HOURS NORMAL LOCATION SAMPLE ID H.A.# NUMBER P.S. 89M-6/21/02- 01 Fiberglass- / P.S. 89M-6/21/02- 02 Fiberglass- 2 P.S. 89M-6/21/02- 03 Fiberglass- 3 P.S. 89M-6/21/02- 04 Fiberglass- 4 05 P.S. 89M-6/21/02- Fiberglass- 5 P.S. 89M-6/21/02- 06 Fiberglass- 6 P.S. 89M-6/21/02- 07 Fiberglass- 7 P.S. 89M-6/21/02- 08 Fiberglass- 8 P.S. 89M-6/21/02- 09 Fiberglass- 9 P.S. 89M-6/21/02- 1o Fiberglass- /o CHAIN OF CUSTODY 17. Relinquished By: M.Valluny MATERIAL DESCRIPTION FLOOR NUMBER RESULTS Settled Dust Out side ot sclao отокна wнст surtaue Settled Dust Settled Dust Playground Grouna coner. North hiole uhtr South side Entr.. center Southside Settled Dust NA NA NA NA North side Settled Dust East side. Settled Dust Settled Dust West sick Settled Dust Cafeteria Settled Dust IsT.fl. Mallway floor floor southot cafeteria East of cafeteria NA NA NA NA NA Settled Dust = Please call Project Manager 646-772-1155 18. Date: 19. Time: 20. Received By: T21. Date: 22. Time: E.A ChARTOnos 6/21/02 1900 123. Method of Submittal: FIELD WALK IN US MAIL FED-X OTHER LAB INFORMATION 24. Name and Signature: 24a. Analyzed By: E. Al. Cuorfero- 24b. Analyzed By: 24c. QC By: 25. Date:(26. Time: 6/21/0z 27. Comments (Lab): 40 PLM Filename. P:\USERSIDATAIWP96|WP\FORMSINY-13.XLS Form NY-13 CITY_21MC100_003471587 CONFIDENTIAL, SUBJECT IO PROTECTIVE ORDER NO. 2, SEPI. 2008 NYC-WTC_000177212

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NYC-WTC_000177212Source: NYC Law Department, mirrored locally

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Chain of custody form and data sheet for bulk asbestos samples collected at P.S. 89M on Warren Street during AHERA reinspection.

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