NYC-WTC_000175391
Chain of custody form documenting the collection and tracking of bulk dust samples for fiberglass analysis at P.S. 131M.
3 shared non-person entities · similarity 0.959
machine-extracted · confidence unavailable · Check page ↗Document / 3 pages
NYC-WTC_000199266
Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199266–000199268Page image
OCR text
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
Page of O’--
^rC ASSOCIATES INC. BATCH NO.
BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC-BOE 2. Project Nam PS 131 M 3. Project’ 14584-0875 4, Project Manager: Yiannis Efslathiou
2a. Project Address: 100 Hester Street, New York,NY 4a. Investigator: Jimmy-ehro^ y
5. Date: 6. Building Name: P.S. 131 M 8. Turnaround Time; 9. Comments (Field): *
7. Sampling Areas: □ STAT o □ 72 HRS □ OTHER Analyzed all of them for fiberglass 10. Time in / Time out: □ 6 HRS □ 48 HOURS □ normal SAMPLE ID M ATERIAL LOCATION FLOOR RESELLS H.A.# NUMBER DESCRIPTION NUMBER P.S. 131M-8/22/02-
Fiberglass- /( P.S. 131M-8/22/02- Settled Dust XU/'<. / Z24 / Fiberglass- Settled Dust P.S. 131M-8/22/02- oc.,' Fiberglass- / Settled Dust / /th P.S. 131M-8/22/02- 7^ Fiberglass- yA P.S. 131M-8/22/02- Settled Dust AJA 7c/ Fiberglass- / Settled Dust P.S. 131M-8/22/()2- Fiberglass- Settled Dust P.S. 131M-8/22/()2- Fiberglass- -jA- Settled Dust 7; /wTT A2A P.S. 131M-8/22/02- Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- Settled Dust P.S. 131M-8/22/02- Fiberglass- Settled Dust CHAIN OF CUSTODY P ease call Project Manager 646-772-1155 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Dale: 22. Time: 23. Method of A Submittal: HELD /7 67../,,. /T/ c) WALK IN US M.A.1L FED-X OTHER
LAB INFORMATION 24. Name and Signature: 25. Dan;: 26 Time: 27. Comments (Lab):
24a. Analyzed By: /C A- -- Y/ ■ " /I 24b. Analyzed By: 24c. QC By:
Filenames P:\USERS'.DATA\WP96\WP’FORMS\NY-13 XLS Form NY-13
CITY_21MC100_003048754
NYC-WTC_000199268
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NYC-WTC_000199268Source: NYC Law Department, mirrored locally
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