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Bulk asbestos analysis sheet template, Feb 2002

Machine-extracted title · confidence 90%

Blank bulk asbestos analysis sheet from ATC Associates prepared for recording results of asbestos testing at a New York City location in February 2002.

NYC-WTC_000175664–000175666
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Scanned page image, NYC-WTC_000175666
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NYC 9/11 Public Portal Document

ATC ASSOCIATES INC - NEW YORK BULK ASBESTOS ANALYSIS SHEET hVLAP lot ifir

104 Fact 25’b Sireel. IGlb Floor TGu iu . Phone (212) 353 - 8200. FAX (212) 353 - 3599 or 8306 ELAP IOS7O

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Analysis Dale Analyst Balch No.

/ Field Ho. Asbestos Olher Non (jtavlisKihlc { fHJB I Stereoscopic Exam PLM Optical Properties ResiilH PLM % Fibrous % r ibiGUS % RgsiiUs % GihviiiwIik; (IKrU) Color Toxluie Morphology Exlinction _________ Chrysotile Cellulose Mineral Filler Okj.ksS!: HlH|l»IIU<f a HacKsges'eity Ri j RI It . Aniosite Fiberglass Organic Diridets RRsklue w □ -V- G CO G M O H H O (iiavHiwiUu.rntP Q Giavntrniric |riOO) PLM

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G 2 Field No. Asbestos Olher Non Gravlinelfic { HUB ) 50 o Stereoscopic Exarn PLM Optical Properties Results PLM % Fibrous 7o Fibrous % HesilltS % H 4 Cellulose M GtavHUL’lfK INOnj Cotor Texture Morphology Exlinclion Chrysotile Mineral Filler Oigniiic o O itBipntnit Q I hrrnooenlty^ PH RIU . Anjtosila ______ Fiberglass H o Oiyantc Binders .Reshhie

3 3 KecuxMirandiMl GirivIriHilm: PREP l_j O # of l ayers Asbestos Q a DS Color Color,Pleo /ither VentslatIHe V.aibniinle M BIref •' Sign U GravmiohiiUHOBM’lM Q ^ulor of Layer Delecled Yee No Other OH UK O M “ Q.C G(rivlHinlnc iMOhJ I GM ^oinineiils: Aslinsliis ?0 a M S H roirn cotirn pout 11 uH Itll BACK Welhod; □ CUAtIM* QCt** Q®*' Q oner scAimmc ornoti > cue* (re j & tp*' First 4 preps. Asbestos - 0 la ?0 > 3 3 Field No. Asbestos Olhar Non GtavhMciih: ( flOH ) O Slereoscoplc Exam PLM Optical Properties Results PLM *Z. Fibrous % Fibrous "A Hnsiihs %

GravHiioVMjnOH) Color Texlurs Morphology Extinction Chrysotile Cellulose Mineta) Filler _ Organic Huquiiud □ lluinogenlly RI J RIU Amosite Fiberglass Oiganic Uintleis RnsiilDO

W M Rec«uiH«U3(ulu<i Q of Layers Asbestos Q □ OS Color Colof.Plea Othei Other Veiinlcnlite t'nrlinnnle G G'dvi.not.u. I’lttP Q Bhef Sign Olher Olher H Gravmnrlric (I n »U( PI 11 Q Color of Layer Delecled Ye« No

□ GlIlvIliibllicIHOIII lEkl Q Asbn.slos Coininents; rotnr cou»n Method: □ itw 1 f«’ Qetxr Q ew Q orw. Q SCAIXJIHG ornoH i etJr (r.c.) s tfA* fim 4 pftps. Asbestos » 0 O AdlK l< OU IKI BACK O CO

Q 4 Ffuhl No. Asbestos Olher I'itJIl Gravifiieldc ( OOI) ) H Slereoscoplc Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Rcsulls % K Extinction Chrysolite Cellulose Color Texture Morphology Mlnernl Ftllai __ Orgniiic I Gtdviinubir {tli.in) Hitqulinil ( _ ) to RI I RIU Amosite Fiberglass Organic Oiudots nomoooiiHy RpsLIufl nucoowounaloil (~3

Giuviiitulfx: P«eP O It ol Layers Asbestos Q Q DS Color Color.Pleo Olher Olher VcftniciJlilD (/ai hiKKila

o GtauiiititiiL(IIOU)i’LM Color of I ayer Delecled Yes No BIref Sign Other outer o L^dyhiitjlfJCin()U)lt».l 1^ Asbusins Cooooerils; I o Foiur cDiiirr Method: Q OAF . trx* Qciaf Qifa' Q O1K« Q sCArHiiiiQ ornori i «LAr (f C ) i <Fa* First 4 ptepi. Asbestos « 0 nllllllt UU Tilt XXCN

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NYC-WTC_000175666

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NYC-WTC_000175666Source: NYC Law Department, mirrored locally

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