2 shared non-person entities · 1 shared topics · similarity 0.988
machine-extracted · confidence unavailable · Check page ↗Document / 4 pages
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 i-p ASSOCIATES INC. BATCHNO. 2^3^/
BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION i. Client: N'.'C - BOE 2. Project Nam AHEfM KEINSPECTION 3, Project# 14584-0S23 4. Proieci ManagerYtannis Efsiaihiou
2a, Project .AddresstZ?? Greenwich street. .New York.NYlOOO? 4a. InvesiigatorChacko Mathew _____ _______ 5. Dale: 0. Building Name: P.S.234M S- Turnaround Time: 9. Commenis (Field): □ STAT O □ 72 HRS 0 OTHER .Analyzed all of them for fiberglass 7. Sampling .Areas: 10. Time in / Time out: 0 6 HRS 048 HOURS □normal
SAMPLE ID Material LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER
P.S.234M-5/18/02- o \ Ss '-'4- A S\ 7 3^ Fiberglass- 3> ( Settled Dust P.S.234M-5/18/02- 3^ Fiberglass- 3 2, Settled Dust 2> J u 3 P.S.234M-5/18/02- ■Z, 35 C \ ^1 S S Yew Fiberglass- 3 3 Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust P.S.234M-5/18/02- Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished Sy: 18. Date: 19. Time: 20. Received By; 21. Date: '22. Time; 23. Method of Submittal: FIELD sIl'd'T WALK IN US MAIL FED-.X OTHER
LAB INFORMATION 24. Name and Signature: 25. Date; 26 Time: 27, Comments (Labi;
24a- .A.natyzed By: M Umul 24h. ,Analvzed By: 24c. QC By:
CONFIDENTIAL, CITY_21MC100_0 03394893 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000178692
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NYC-WTC_000178692Source: NYC Law Department, mirrored locally
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