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NYC-WTC_000199132

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199132–000199135
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NYC 9/11 Public Portal Document

Page 3 of M- 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 Manager;Yiannis Efstathiou

2a. Project Address;292 Greenwich street. New York,NY10007 4a. InvestigatorChacko Mathew

STDate; 6. building Name:P.S.234M 8. Turnaround Time: 9. Comments (Field): □stat □ 24HRS □ 72HRS Q OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10. Time in / Time outi €• « WA. □ 6 HRS 048 HOURS □ NORMAL cO I -o'*

SAMFLEIO MATERIAL LOCATION FLOOR RKSULTS NUMBER DESCRIPTION NUMBER PS234M-4/13/02- O-o X ■3-1 Fiberglass- XV Settled Dust PS234M-4/13/02- -m “Ah X<5 Fiberglass- 3. X- Settled Dust PS234M-4/13/02- Fiberglass- "3-3 Settled Dust •L PS234M-4/13/02- O-M Fiberglass- XH- Settled Dust PS234M-4/13/02- N J Yw Q-WX <XOt) Fiberglass- PS234M-4/13/02- Settled Dust XZl T. Fiberglass- Settled Dust PS234M-4/13/02- C.\^SS -loo VTA 3-^ Fiberglass- Settled Dust €*5A) 3 PS234M-4/13/02- ^-a-S . ‘S 3-3 Fiberglass- Settled Dust vwi

PS234M-4/13/02- Settled Dust 3. 3 Fiberglass- PS234M-4/13/02- Ak a.o’K 3 ^0 Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date; 19. Time: 20. Received By; 21. Date: 22. Time: 23. Method of Submittal;

a Z/4L 'PxZzr'-zUj FIELD WALK IN US MAIL FED-X OTHER

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

Filename: P:\USERS\DATA\WI>96\WI>\FORWS\NY-13,XLS Form NY-13

CITY_21MC100_003031587

NYC-WTC_000199134

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NYC-WTC_000199134Source: NYC Law Department, mirrored locally

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Chain of custody form and data sheet for bulk asbestos samples collected at P.S. 89M on Warren Street during AHERA reinspection.

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