NYC 9/11 Public Portal Document
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ATC ASSOCIATES INC. BATCH NO. ae OR
BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM
PROJECT INFORMATION
1. Chent: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project # 14584-0864 4. Project Manager:Yiannis Efstathiou
2a. Project Address:90 Trinity Place, New York, NY 10006 4a. Investigator: Yiannis Efstathiou
35. Date: 6. Building Name:M894 8. Turnaround Time: 9, Comments (Field):
‘ Cistat ([]24Hrs (7) 72HRS ([] OTHER Analyzed all them for fibergiass
3}7 lo2 7. Sampling Areas: 10. Time in / Time out:
Cleurs ([JasHours [] NorMAL
SAMPLE 1D MATERIAL LOCATION FLOOR RESULTS
HAG NUMBER DESCRIPTION NUMBER ~
M894-3/7/02- Ist floor tobby
Settled Dust :
Fiberglass-¢ Ole uS { oor
-3/7/02- , a
M894-3/7/02 Cafe fora L J
Fiberglass- Og Settled Dust Salen +)
M894-3/7/02- . J
, AusSytor itty \ J ;
Fiberglass-C) Settled Dust fl OC 4 ;
'M894-3/7/02- . Che tsar conta POL \
Fiberglass-Qp Settled Dust docs
M894-3/7/02- ard floor hall way
Fiberglass- 65 Settled Dust Gl 2)
"M1894-3/7102- 5th floes hel lwae)
Fiberglass-Q¢ Settled Dust - . i f 1)
'M894-3/7/02- Fh floor hal | wee
Fiberglass-¢°7 Settled Dust (lex
M894-3/7/02- . O kee Om #SOZ
Fiberglass-OX Settled Dust (sec
M894-3/7/02- Ok flee y ho. (poay
Fiberglass-OyF Settled Dust } ‘hoe’
M894-3/7/02- 124. freor Ae [waif Ss
Fiberglass-/() Settled Dust lee
CHAIN OF CUSTODY \~ /
17. Relinquished By: 18. Date:/19.. Time: 20. Received By: 21. Date: 22. Time: 23. Method of
Submittal:
4 ' ‘ FIELD
a LiL. ttle LY Row ty 3f> [o AAP WALK IN
V Vi rl “a vod Su
OTHER
LAB INFORMATION
24, Name and Signature: 25. Date:|26. Time: 27. Comments (Lab):
24a. Analyzed By: ZL. Lf. Lay A Gee feDN bALe a /O fe /7
24b. Analyzed By:
24c. QC By:
Filename: P:\USERS\DATA\WP96\WP\FORMGWN Y-13.XLS Form NY-13
CONFIDENTIAL, CITY_21MC100_011531614
SUBJECT TO PROTECTIVE ORDER NO. 2,
NYC-WTC_000175672
SEPT. 2008
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NYC-WTC_000175672Source: NYC Law Department, mirrored locally