NYC-WTC_000230496

NYC 9/11 Public Portal Document

of

47(7 ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PRO.IECT INFORMATION Client: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-0819 4. Project Manager: Yiannis Efstathiou

2a, Project Adtlress:201 Warren street, New Yo-k.NYl0282 4a. Investigator:Manana Medinets

A Date: 6. Building Name:P.S.89M 8. Turnaround Time: D. Comments (Field): 0 STAT □ 24 HRS □ 72 HRS Q- OTHER Analyzed all of them for fiberglass y-A? - 7. Sampling Areas: 10. Time in / Time out: □ 6 HRS 048 HOURS □ NORMAL SAMPLE ID M.4TERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER

PS89M-4/12/02- Fiberglass- Settled Dust PS89M-4/12/02- A Fiberglass- Settled Dust PS89M-4/12/02-

^3 Fiberglass- Settled Dust PS89M-4/12/02- ■2.-? A Fiberglass- PS89M-4/12/02- Settled Dust ad AD Fibergiass- Settled Dust PS89M-4/12/02- ^3^ Fiberglas.s- Settled Dust PS89M-4/12/02- ^7 Fiberglass- Settled Dust /Li PS89M-4/12/02- 3 Fiberglass- PS89M-4/12/02- Settled Dust AJ7\ Fiberglas.s- Settled Dust PS89M-4/12/02- riberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By; 18. Date; 19. Time: 20. Received By; 21. Date: 22, Time; 23. .Method of Submittal: FIELD WALK IN LS MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab); 24f.. Analyzed By:

24b. Analyzed By: 24t. QC By:

Filename: P;\US£RS\DATA\’VP96\WP\FQFLMS\NY-i3.XLS Form NY-13

CONFIDENTIAL, CITY_21MC100_011771236 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000230499