NYC 9/11 Public Portal Document
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ATC 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# 14584-0864 4. Project ManagertYiannis Efstathiou
2a, Project .\ddri;ss:90 Trinity Place. New York,NY 10006 4a. Investiga:or:Yiannis Efstathiou
5. Date: ^TBuilaingNarneTlil 8 94 8. Turnaround Time: 9. Comments (Field):
□ STAT O □ 72 HRS □ OTHER Analyzed all of them for fiberglass
7. Sampling Areas: 10. Time in/Time out:
□ 6 HRS □ 48 HOURS □ NORMAL
SAMPLE ID MATERIAL LOCATION FLOOR RESULTS
H.A.# NUMBER DESCRIPTION NUMBER
M894-6/6/02-
Fiberglass-0 ( Settled Dust
M894-6/6/02- iCa-
Fiberglass-o^ Settled Dust
-------------- 1-----------------------------
/UA
M894-6/6/02-
13{It jloov Via5t5liLj3cuj '-J /
Fiberglass-^:^ Settled Dust
M894-6/6/02-
(yjea3.<-o(yrri^ lOOS
Fiberglass-QtL Settled Dust
M894-6/6/02-
in
Fiberglass-^c
M894-6/6/02-
Settled Dust A^A
Fiberglass-^^ Settled Dust /<4l(nn
M894-6/6/02-
Fiberglass- Qi Settled Dust
M894-6/6/02-
Fiberglass-^j^ Settled Dust
'M894-6/6/02-
Fiberglass- Settled Dust
M894-6/6/02-
Fiberglass- , Q Settled Dust
CHAIN OF CUSTODY
17. Relinquished By: 18. Date: 19, Time: 20, Received By: 21. Date: 22. Time: 23. Method of
Submittal:
FIELD
A 7 7'
6 /a /e z- /S'o 0 WALK IN
US MAIL
FED-X
OTHER
LAB INFORMATION,/
- 7^- Yzrr
24. Name and Signature: ^5. Date: 26. Time; 27. Comments (Lab):
24a. Analyzed By: X/- AL- t' /G A a/
24b. Analyzed By:
24c. QC By:
Filmome; P;tUSERS\DATA\WP96\WP\fOltMSuNY. Id.XLS Fotii, NY-13
CONFIDENTIAL, CITY_21MC100_011531520
SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008
NYC-WTC_000175668
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