NYC-WTC_000175391
Chain of custody form documenting the collection and tracking of bulk dust samples for fiberglass analysis at P.S. 131M.
1 shared non-person entities · similarity 0.947
machine-extracted · confidence unavailable · Check page ↗Document / 1 page
Bulk Sample Data and Chain of Custody Form, P.S. 234M,
Machine-extracted title · confidence 96%Form recording sample identification and custody chain for AHERA reinspection at P.S. 234M.
NYC-WTC_000177920Page image
OCR text
OCR status: ok · source: pdftotext
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 AHERA REINSPECTION 3. Project# 14584-0823 4. Project Manager: ANDREAS ANDREOU
2a. Project Address:292 Greenwich street, New York, NY10007 4a. Investigator:Y. Efstathiou
5. Date: 6. Building Name:P.S 234M 8. Turnaround Time: 9. Comments (Field): _______ I Q STAT Q 24 HRS Q 72 HRS iO . Ture in /’ Tirhe out; 7. Sampling Areas: Entire □ 6 HRS □ 48 HOURS □ N0RMAl(p|<V^ ) SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS 234M - 1/2 - No Zhsesrds Tape - Settled Dust PS234M
Tape Settled Dust
Settled Dust ______________________________
CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time; 23. Method of Submittal: — FIELD IaA.^ __ - WALK 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-13.XLS Form NY-13
CONFIDENTIAL, CITY_21MC100_011532352 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000177920
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NYC-WTC_000177920Source: NYC Law Department, mirrored locally
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