Bulk asbestos analysis sheet template, Feb 2002

NYC 9/11 Public Portal Document

ATC ASSOCIATES INC - NEW YORK BULK ASBESTOS ANALYSIS SHEET UVI AP 101111/

104 East 25lh Slreet. lOlh FInnr Me.., y™i, ;;y .ge/Q , 353.3280. FAX <212) 353 - 3599 or 8306 EI_AP 100/B

MICfOsctipa ULVP BII 2

Client / Project Projecl No. _____ ____

Analysis Dale Analyst Balch No.

Field No. Asbestos Olher Moil Giavirnelric ( HOB ) C?S Stereoscopic Exam PLM Optical Properties Results PIM % Fibrous ribrous % Results %

Lxfdviinutric (Ul'B) Color Lt Tax lure Morphology Extinclion ______ Chrysolile Cellulose 1 Mlneial Filler Ui}(|iii<uJ Q I luninnciiily I Ri I kI u Ie Fiberglass Organic Binders HeshhiG w G CO G M nUUtHlllliUfKltMl

Giavhnenn; PREP r>a.n»Sir. II HiH) PIM |_J O □ If ot Layers

Color of Layer Asbestos Q

Delected Vee p No OS Color

Biref Color,Pleo

SIfln Vciniiculile

Ollier (arboiinhs

Oihcr O Giaviiiiolill, |l r IB) I bn 12)

□ ('oinmeHls; Asbeslos H Poiirr rmiin Q DlMfA scwHiitKrwnoiii eixp(e.c)*tpx* Fmt 4 peeps. Asbestos > 0 H BtSniTl UN nil BACK

O G 2 Field No. / Asbestos Other Noil Gravhnehlc (IJOO | 50 O o « Slereoscoplc Exam PLM Optical Properties Results PLM % Fibrous % Fibrous “/□ Resiills % H ■^Texlure Morphology Extinclion Chrysotile 0 Cellulose \ Mineral Filler M Gravirriclric (HOB) Coioi ___ Onianic Q Q Beqnircd Q I lolJKjgeniiy RU RIU /Amosite Fiberglass Organic Oimlets flesRlno □ z H O iiccixtxiiiiiiiruii O S a of Layers Asba&los OS Color Color.Pleo Olher Vetiiiiciflile CadKMtatu Cirtviieonic purl. 1^ M Delected Yes No Biref Sign GovtnioliK (111111) fl U 12) Color ot Layer Oilier rilher U o w Guveinee; It'll 111) I PM Q

□ jCuiiinienls: Asluistos s a H roirn cottriT I Method; □ fux •»«' Qtop QtFA' OTHER SCAIHlltIGO/rrOlll ILAP|/.C.)iEPA‘ First 4 preps. Asbestos a fl M BtUK 11 CHI itK *»L<

G S 3 Field No. _ Asbestos other I'lotl Gravinixtrir: ( HOU j O Sleregscopic Exam PLM Optical Properties Results PLM V. Fibrous % Fibrous % KesiiHs %

Graviinntnc<irO01 (requiimt l_J cG LT Texture G Morphology Exlinclion ChrysoUla I Cellulose Mineral Filler ______ Organic

I loinogenlly RU Rill Fiberglass Organic Binders JlesLlue W IIOIIHIIIIKKIlhlll l_) ol Layers Asbestos Q DS Color Color.Pieo Venntculile Cadinniilo hj Gravliiiolili. PUEP l_J H r.i.i.lliiihii. 111110)1'1 M I Color ol Layer Delected Yee No Biref Sign Olher Olher IjorHniabiclUrllDILM Q

□ Coininenls; Asbeslus rot XT tOOXT MellioU: Q tw . WA’ QltAF QWA’ Q OIMfR tcAiMiina opnoii I IL.P (PC). rp.' fim <1 preps. Asbestos = 0 O RI tin |» UM UK BATH o co Q 4 Flohl Ho Asbestos Other Non Govlniclilc ( HOU )

H on? Stereoscopic Exam PLM Oplicaf Properties Results PLM % Fibrous % Fibrous % Resiills %

Gfavirnulnr (IH 1B| Texiura Morphology ExUnclior) Chrysolite Cellulose L Mineral f iller rir’lw / )ii,.nih.’

Uin|nl<C(f Q HuiiKiyenily RM RI ti /. Amosllfl Fiberglass Organic Binders fb>Ri>hic

S O rtuGiHonittruieil

GiavtiiniiiH; pnCP O □ if uf Layers Asbestos Qi DS Color Color.PlBo / Olher /Olher Vennicnhle (■■,nbnn:Mn

Color of Layer Delected Yes No Bfref Sign C Olher o Gia\^in«lnuil)<XU>*lM I Hhrtr o G.avIniniiicpKXll IFM Q

□ Contnienl*: Asliesins I o roiMT connr KAiwmiGortKm t tw (rx. > s tfA* Q OIKR First 4 prept. Asbestos « 0 KISUttt till nil BATH

on CO

o

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