2 shared non-person entities · 1 shared topics · similarity 0.988
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Chain of Custody Form, P.S. 234M Asbestos Inspection
Machine-extracted title · confidence 95%Chain of custody documentation for bulk asbestos samples collected at P.S. 234M as part of an AHERA inspection project.
NYC-WTC_000178689–000178692Page image
OCR text
OCR status: ok · source: pdftotext
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 AHER.A REINSHcCTiON 5,' Project# 14584-0823 4. Project ManagerYiannis Efsathiou
2a, Project Address:292 Greenwich street. New York.NYl000z 4a. InvestigatorChacko Mathew
□ate. b. Building Name: P.S.234M 8. Turnaround Time: 9. Comments (Field); □ stat □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10, Time in /Time out \ is Ui- Oh HRS □ 48 HOURS □ NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER
P.S.234M-5/18/02- 1\ LviX V, t. C- I Fiberglass- 1 \ Settled Dust /V J> P.S.234M-5/18/07- fS \ CL Y e\c-<i',XvY 1 iT Fiberglass- 1'1- Settled Dust P.S.234M-5/18/02-
*3 Fiberglass- Settled Dust nA e. -I I r.,. V) ■, 1\ fC. L I P.S.234M-5/18/02- h-, rsc. i, I e n'l (A /<•> >01^ IM- Fiberglass- 14 Settled Dust '* SLve >» N.. 'A LC P.S.234M-5/18/02- < tc i vA 10 1 1s Fiberglass- *5 Settled Dust P.S.234M-5/18/02- 11 Fiberglass- (L Settled Dust c\ ss i P.S.234M-5/18/02- n Fiberglass- iT Settled Dust C\-.SS -ioCA-n X'i-'- V P.S.234M-5/18/02- Fiberglass- "S Settled Dust TuizTc -if, \ 1 '<5’ I P.S.234M-5/18/02- Fiberglass- 1 'i Settled Dust C_ \ e-- t 5 ■"'N ML P.S.234M-5/18/02- 7-- Lu f Vm Cl U vvs 72_ c L j Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Dale: 19. Time; 20. Received By; 21. Dale; 22. Time; 23. Methadol' Submiltai: FIELD WALK IN US MAIL FED-X OTHER
LAB INFORMATION 24, Name and Signature: 25. Dale: 26, Time: 27, Commenis (Lab): 24a. Aralyzed By: \^\/V s7///cc /'yc /^/VT 24b. .Afialvzed Bv: 24c, QC By:
Fiienanw P ‘USERS.DATAiWPae'.WPlFORMS’.NY IS .\LS Form NY-13
CONFIDENTIAL, CITY_21MC100_003394891 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_OOO 178690
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NYC-WTC_000178690Source: NYC Law Department, mirrored locally
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