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Bulk sample data and chain of custody, PS 234M

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Batch data and chain of custody form for bulk samples from P.S. 234M analyzed for fiberglass fiber content by ATC Associates.

NYC-WTC_000175981–000175984
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NYC 9/11 Public Portal Document

Page of ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I Client: NYC-BOE 2. Project Nam AHERA REINSPECTION 3. Project # 145S4-0823 4. Project Manager: Yiannis Efstathiou

2a- Project Address:292 Greenwich street. New York, NY 10007 4a. InvestigatortChacko Mathew

5 Date: 6- Buiic ing Name:PS234M S. Turnaround Time: 9. Comments (P'ield): □ STAT 0 24 HRS 0 72 HRS 0 OTHER Analyzed all of them for fiberglass 3^3 7. Sampling Areas. 10 Time in / Time out: 0 6 HRS 0 48 HOURS 0 NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M-3/23/02- G-vv^ I 11 Fiberglass- «1 Settled Dust PS234M-3/23/02- Fiberglass- '9- Settled Dust PS234M-3/23/02- KV \«J S I 4 13 Fiberglass- Settled Dust PS234M-3/23/02- IM Fiberglass- (if PS234M-3/23/02- Settled Dust IL •X'l.-l x23 ■3.C. S IS Fiberglass- PS234M-3/23/02- Settled Dust AXA it CvXo^i ) lb Fiberglass- PS234M-3/23/02- IU Settled Dust •iR At (yUoA3 A/A 17 Fiberglass- i "1 Settled Dust PS234M-3/23/02- Fiberglass- ( Settled Dust PS234M-3/23/02- Fiberglass- 1*1 Settled Dust PS234M-3/23/02- V \O4> V"t>r Fiberglass- 9-'^ Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD T'/l WALK IN

7 US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature; :25. Date: 26. Time; 27. Comments (Lab):

24a. Analyzed Bv:

24b. Analyzed By: 24c. QC By:

Filename- P:’USERS\DATA\WF96^WP\FO{<MS\NY-13 XLS FonnNY-l?

CONFIDENTIAL, CITY_21MC100_011530649 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175982

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NYC-WTC_000175982Source: NYC Law Department, mirrored locally

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