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

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Chain of custody form and project data sheet for bulk samples collected at P.S. 89M for asbestos and fiberglass analysis.

NYC-WTC_000177689–000177692
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NYC 9/11 Public Portal Document

ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-0819 4. Project Manager:Yiannis Efstathiou

2a. Project Address:201 Warren street, New York,NY10282 4a. Investigator: Yiannis Efstathiou

5. Date: 6. Building Name:P.S.89M 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS Q OTHER Analyzed all of them for fiberglass 7. Sampling Areas; 10. Time in / Time out: □ 6 HRS Q 48 HOURS Q NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS89M-4/5/02- Fiberglass-^/ Settled Dust Ccn-lCtCp PS89M-4/5/02- Fiberglass-^_^ Settled Dust PS89M-4/5/0^ I'de Fiberglass-Q^ Settled Dust crj/ST/vl? PS89M-4/5/02- Fiberglass-(^J. Settled Dust PS89M-4/5/02- Fiberglass-^^ Settled Dust i On S' PS89M-4/5/02- Fiberglass-^QZ Settled Dust PS89M-4/5/02- Fiberglass-Q-x Settled Dust PS89M-4/5/02- Fiberglass-Q^ Settled Dust Y-f/rr^r aYI PS89M-4/5/02- Fiberglass- PS89M-4/5/02- Q Settled Dust dot Ab Fiberglass- jQ Settled Dust cr< CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By. 21. Date: 22. Time: 23. Method of Submittal: FIELD

c WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 11. Comments (Lab): 24a. Analyzed By: U/H.i I 4-^ 24b. Analyzed By: 24c. QC By:

Filename: P\USERS\DATA\WP96\WP'FOILMSW-I3 XLS FormNY-lJ

CONFIDENTIAL, CITY_21MC100_003473772 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000177689

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NYC-WTC_000177689Source: NYC Law Department, mirrored locally

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NYC-WTC_000178587

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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