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Bulk Sample Data and Chain of Custody, P.S. 89M

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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.

NYC-WTC_000178587–000178590
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NYC 9/11 Public Portal Document

Page ( of r 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 EfsUthiou

2a. Project Addres5:201 Warren street, New York,NY102S2 4a. lnvestigator:Mark Nakhumovich

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

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S.89M-5/24/02- 01 Fiberglass- ( Settled Dust h'6i2^ P.S.89M-5/24/02- 01^ Fiberglass- 2. Settled Dust P.S.89M-5/24/02- 03> Fiberglass- Settled Dust &'r<pui4p( uot^tyT. C£44'/-&r' P.S.89M-5/24/02- Fiberglass- 1/ Settled Dust — P.S.89M-5/24/02- or Fiberglass- Settled Dust o(jL^ P.S.89M-5/24/02- 06 Fiberglass- Settled Dust P.S.89M-5/24/02- 01 Fiberglass- n Settled Dust f P.S.89M-5/24/02- OS Fiberglass- Settled Dust P.S.89M-5/24/02- Fiberglass- Settled Dust P.S.89M-5/24/02- “7 fi/' ¥ Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date; 19. Time; 20. Received By: 21. Date; 22. Time: 23. Method of Submittal: FIELD WALK IN 7 US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature:, „ „ 25- Date: 26. Time: 27. Comments (Lab): 24a. Analyzed By: A CX-J <70 pus 24b. Analyzed By: 24c. QC By:

Filename; P;\USERS\DATA\WP96\WP\FO1<MS\NY-13-XLS Form NY. 13

CONFIDENTIAL . CITY_21MC100_001902506 SUB,JECT TO PROTECTIVE ORDER NO. 2, SEPT. 2 00 8 NYC-WTC_000178587

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NYC-WTC_000178587Source: NYC Law Department, mirrored locally

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