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 If- ATC ASSOCIATES INC. BATCH NO. ;'z<Y77
BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Client: NYC ■ BOE 2. Project Nam AKcFLA R.E1NSPECTION j.- Project;; 14534-0823 4. Project Manager:Yiannis Efstatliiou
2a- Project Address:292 Greenwich street. New York.NYlOOO? 4a, InvestigatoriChacko Mathew
5. Dace: 0. bulioinE Name: P,S.234M 8. Tu:-naround Time: 9. Cuiiimeiils (Field): □ stat □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10 Time in / Time out: □ 6 HRS Q4S hours □normal SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIFTlOlN NUMBER P.S.234M-5/18/02. rAtBSS 2-< 9- A Fiberglass- x- \ Settled Dust P.S.234M-5/18/02- C \ T-1- < Fiberglass- X i- Settled Dust I T--. ' '- A -A 7 P.S.234M-5/18/02- ^3 4- 1 T 7_ Fiberglass- Settled Dust P.S.234M-5/18/02- 'T-A -Al Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- '3-5 Settled Dust C-\ n s s P.S.234M-5/18/02- <h s 3 N- ''-'-7 -41 X 2- s Q- Fiberglass- T-t Settled Dust P.S.234M-5/18/02- CL \ 4 \ !> S Fiberglass- Settled Dust P.S.234M-5/18/02- .-O A-\ 3 9- 7 3 Fiberglass- 2- § Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- 3 Settled Dust c_\ «■-,!. 5 n'e-o-Tx-N rFF LLslC 3 ty CHAIN OF CUSTODY 17. Relinquished By: 18. Dace: 19. Time; 20. Received By: 21. Date; 22. Time: 23. Method of Submittal: FIELD >11^ WALK IN ’JS MAIL FED-X OTHER
LAB INFORMATION 24. .Name and Signatyre: 25. Date: 26. Time; 2/. Comments (Lab):
24a. Analyzed By: W Lcvt. uA T/z a/aZ. r'i(O 2-^b. Analyzed Bv;
24c. QC By:
Filen.nme P:'.USERS\DaTAkWP9o\WP‘.FOR.MS\NV.|3 XLS foi-m NY-1.'
CONFIDENTIAL, CITY_21MC100_0 03394892 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000178691
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NYC-WTC_000178691Source: NYC Law Department, mirrored locally
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