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NYC-WTC_000230481

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000230481–000230495
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NYC 9/11 Public Portal Document

Page <5 of

^rc 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# 14584-0819 4, Project Manager:Yiannis Efstathiou

2a. Project Address:201 Warren street, New York,NY10282 4a. InvestigatortMark Nakhumovich

5.' Date: 6. Building Name:P.S.89M 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS Q . OTHER. Analyzed all of them for fiberglass 5 -31- 02 7. Sampling Areas: 10. Time in / Time out; □ 6 HRS , □ 48 HOURS □ NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S.89M RAotf XI Fiberglass- Settled Dust P.S.89M

Fiberglass- /2 2 Settled Dust P.S.89M Fiberglass- <2. J Settled Dust P.S.89M - Fiberglass- '2,^ Settled Dust P.S.89M 15 Fiberglass- "2.5” Settled Dust /VA P.S.89M. (2. 302. K Fiberglass- Settled Dust aA P.S.89M-/^"“ Sol Fiberglass- -Ji. "7 P.S.89M Settled Dust /ML Fiberglass- '2, 8 Settled Dust hb- P.S.89M Fiberglass- '2. Settled Dust Sos /Y P.S.89M Fiberglass- 5 O Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD C-i) /lA WALK IN US MAIL FED-X OTHER

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

Filename; P:\USERS\DATA\V/P96tWP\FORMS\NY. 13.XLS Form NY-13

CONFIDENTIAL, CITY_21MC100_011771185 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000230484

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NYC-WTC_000230484Source: NYC Law Department, mirrored locally

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