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Chain of custody for settled dust bulk sample, Sept 2001

Machine-extracted title · confidence 95%

Document tracking the chain of custody and laboratory results for a settled dust bulk sample collected at a NYC site.

NYC-WTC_000179422–000179423
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NYC 9/11 Public Portal Document

Page J- of TC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHERA RBINSPECTION 3. Project# 14584-0864 4. Project ManagerYiannis Efstathiou

2a. Project Address;9C Trinity Place, New York, NY 10006 4a. Investigator:Yiaiims Efstathiou

"s', bate: 6. Builc ing Name:M894 8. Turnaround Time: 9. Comments (Field); Q stat Q 24 HRS □ 72 HRS □ OTHER Analyzed all them for fiberglass 7. Sampling Areas: 10. Time in / Time out: □ 6 HRS Q 4g HOURS □ NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER description NUMBER M894-3/7/02- Settled Dust Fiberglass-Q f M894-3/7/02- -Zj-UL Fiberglass- Settled Dust M894-3/7/02- Fiberglass-Q::^ Settled Dust f__ M894-3/7/02- Fiberglass-O/|- M894-3/7/02- Settled Dust 3rd fleer kcrKtYZcy ^iooA Fiberglass- Settled Dust M894-3/7/02- floo/ Aallarrsutj Fiberglass-Q^ Settled Dust M894-3/7/02- fhof hallajc^ Fiberglass-^'j Settled Dust M894.3/7/02-

Fiberglass-O^ M894-3/7/02- Fiberglass-(2)Q Settled Dust

Settled Dust 0 - M894-3/7/02- Fiberglass-/Q Settled Dust 00 r^) CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD WALK IN

2 US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: :26. Time: 27. Comments (Lab): 24a. Analyzed By; /O /</// I 24b. Analyzed By: 24c. QC By:

Filename; F;\USERS\DATA\WP96\WP\FORMS\NY. 13.XLS Foitb NY-i3

CONFIDENTIAL, CITY_21MC100_003459178 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000179423

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NYC-WTC_000179423Source: NYC Law Department, mirrored locally

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