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NYC-WTC_000199266

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199266–000199268
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NYC 9/11 Public Portal Document Fage / ot ATC ASSOCIATES INC. BATCH NO.

BULK Sample data and chain of custody form PROJECT INFORMATION 1. Client: NYC - BOE '2. Project Nam PS Bl M 3. Project?# 14584-0875 4. Project Manager: Yiannis Etstathiou

2a. Project Address: 1 )0 Hester Street, New York,NY 4a. Investigator: Jiffim^>‘Choy y

5. Date: 6. Building Name: P.S. 131 M 8. Turnaround Time: 9. Comments (Field): ''

7. Sampling Areas: Q STAT □ Q 72 HRS □ OTHER Analyzed all oT them for fiberglass 10. Time in ! Time out: □ 6 HRS 048 HOURS □ NORMAL SAMPLE ID Material LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S. 131M-8/22/02- Fiberglass- c/ Settled Dust P.S. 131M-8/22/02- Fiberglass- o Settled Dust /J P.S. 131M-8/22/02- Fiberglass- Settled Dust P.S. 131M-8/22/02- 3a? Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- ^5" P.S. 131M-8/22/02- Settled Dust 2^^ 3 /m 3 Fiberglass- Settled Dust P.S. 131M-8/22/02- ^2^ Fiberglass- Settled Dust P.S. 131M-8/22/02- ■y Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- P.S. 131M-8/22/02- Settled Dust zdA / Fiberglass- Settled Dust CHAIN OF CUSTODY Please call Project Manager 646-772-1155 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 2b. Time: 27. Comments (Lab):

24a. Analyzed By: ■ 3/- ( ■ /? / 24b. Analyzed By; 24c. QC By:

Filename P;'.IJSERS\DATA\WP96\WP\FORMS\NY-13 XLS Form NY-13

CITY_21MC100_003048753

NYC-WTC_000199267

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NYC-WTC_000199267Source: NYC Law Department, mirrored locally

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