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Fiberglass bulk sampling chain of custody, P.S. 234M, Apr 2002
Machine-extracted title · confidence 95%Chain of custody form and sample data for fiberglass bulk sampling at P.S. 234M conducted on April 13, 2002.
NYC-WTC_000178666–000178669Page image
OCR text
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NYC 9/11 Public Portal Document
Page of
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# 14584-0823 4. Project ManagerzYiannis Efstathiou
2a. Project Address;292 Greenwich street. New York.NYlOOO? 4a. InvestigatorChacko Mathew
5. Date: 6. Building Name:P,S.234M 8. Turnaround Time: 9. Comments (Field);
7. Sampling Areas: □ STAT □24 HRS Q 72 HRS □ OTHER Analyzed all of them for fiberglass 10. Time in / Time out: tC' ocs I IM - v'3» £. n -Vi Nt □ 6HRS □ 48 HOURS □normal SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M-4/I3/02- 31 A 3.^3 ■3 Fiberglass- Settled Dust PS234M-4/I3/02- Fiberglass- 3t. Settled Dust C\c.5.S -4 o<»-"-> 'N'l 3 PS234M-4/13/02- 33 Fiberglass- 3 i Settled Dust 3 PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By; 18. Date: 19. Time; 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD I- WALK IN < / I US MAIL FED-X OTHER
LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab): 24a. Analyzed By: AF-Z'7 7
24b. Analyzed By; 24c. QC By:
Filcnarac; P: USERS'DATA'.WP96'.WP>FOR-MS:NY-13 .XLS Form NY. 13
CONFIDENTIAL, CITY_21MC100_003394767 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000178669
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NYC-WTC_000178669Source: NYC Law Department, mirrored locally
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