Bulk asbestos analysis sheet template, Feb 2002

NYC 9/11 Public Portal Document

ATC ASSOCIATES INC - NEW YORK BULK ASBESTOS ANALYSIS SHEET NVLAP 101187

lO'l East 25lh SlreBl. 10lh Floor . Npw York, mv -jnn.n . pnone (ZIZ, 353 - 6280. FAX (212) 353 - 3599 or 6306 EtAP loaztf

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Client / Projecl Projecl No.

Analysis Data Analyst Balch No.

/ Field No. , Asbestos Other Non Gravlnielrlc ( NUU )

i Stfifeoscopic Exam PLM Optical Properties Resnlls P! M % Fibrous % ribious % Results % Giavinwlrh. fHOO) Color Texture Morphology Exlincllon Chrysotile 3*^ Cellulose Mineral Filler .Organic

□ Riii it Buuiiii ud Montoyenily RU /Amosite Fiberglass Organic Bituiers Rtisldne co G CO Ruiaxiuuonddd

Glavluiellic PH6P □ Q 0 oi Layers Asbestos Q p DS Color Color.Pleo Other Other L VetmlcUHe _____ Cuibonale G Ye* No Biref Sign M Gr9UiiHiliic|NOB|PlM Q Color of Layer Oelecled Other Oilier

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□ niauiiiieliii:|IIOU| lEM Q Asbestos H Comments: polUT cainrr I Mell.oJ, Q ilAf . gA- QttAA QCAa' Q OTHER scAHimifi oprxjM i elap < r.c j » ipa‘ First 4 preps. Asbestos « 0 H KISUkIt Dil UK atCK

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2 Field No. Asbestos Other Non Gravhnelilc ( HOB ) 50 PLM Opiical Properties Results PLM % Fibrous %

r O Stereoscopic Exam Fibrous % Results % H rutile M GiaviiiieinctNOB) Color US Texture Morphology Exlinclion Cellulose Mineral Filler Organic

Q o Keqtiiiail Q Hciinogenily RI I RIU zXmo!isite Fiberglass Organic Binders riesHtne o H

< s Kecc4)UrtHt>ned Giavliiiiiliic miEP O Q of Layers

^olof of Layer Asbestos CD

Delected Yes ¥ No DS Color

Biref Color.Pleo

' Sign Other Vermiculite

Other Carbunalo

a GfaviniaUir, (tlOUJ P(.M ( j Ollier O M GuvimuliKlWOUl lEM Q Asbestos 3 (Joniinents: a H roiMI COUMT I Melhod: □ av. !«• QEur QIpa' □ OTHER scAiaiihCornoHi elap (r.c jt rra' Fust 4 pieps. Asbestos - 0 M HtCXI It Uli lilt BACK

> f s 3 Field No. -) Asbestos Other Non Gravhndiic ( HOU ) o Stereoscopic Exam PLM Optical Proparties Results PLM % Fibrous % Fibrous % Results %

Gravtinuinc (HOU| CutOE V Jt TeAlutB. Moipbology Extinction Chrysotile Cellulose ( <3 Mineral Filler Orgarrk;

r / HuquiiOll r_l t lornogenlly RU RIH Amosite Fiberglass Organic Binders Besithra CO M ftecoriHnondod Q « of Layers Asbestos Q OS Color Color.Pleo /'bihei p Vennicntite CartroiHile G Gravirnutitc PPEP O Oelecled Yes No Biref ' Sign Other .Ollier H GravInioUic (FJOO) Pl M Q Color of Layer

□ GiavtrnQilictIlUU) ILM Q AsliGSlOS Conunents: roirrr co»»it er*‘ $CAHtlU<GC*nOU I ELAR ( P.C. ) & EM' o OU ni» •*«! Method: Q eiA* . IP** first 4 preps. Asbestos • 0

o co O 4 Flolil No. Asbestos Other Non Gravhneiric ( HOn )

H 0 Slereoscoplc Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results •/□ GraviinulricfHiIB) ' Color Texlure Morphology Extinction Chrysolile CellulosB Mineral Filler __ Organic HuqkvUvd □ I loriHigenily RI I Rlii Xmosile Fiberglass _____ Organic Oindors Hesidiio

s o nocuiiMiuindud

GavUnolnt PREP I t « of Layers Asbestos □ iSil DS Color Color.Pleo Other o«|« ____ Verniiculile (^aibonale

GiaviiduInctHOUlPlM Q Color of Layer Detected Yes No Bird Sign Giber Oil UJI O O nzTre:---------- □ Gra\4tnoUICtMOtlMEM Q Asbestos Coinmanls: I o Q«AP Q sca™«iiCO|TKj.ihlaa(P.C )AgA‘ finlA («€». Asbcslos - 0 voiin coiHn Method: Q OAP.IPA* QI'A' Q RISKtTl OH rill RACK

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