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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 3) of U+- 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# 145S4-0S23 4. Project ManagertYiannis Efstaihiou

2a. Project Address;29- Greenwich street, New York, NY 10007 4a. lnvestigator:Chacko Mathew

5 Dale: 0. Building Nanie;PS234M 8 Ttimaround Time: 9. Comments (Field): □ STAT Q 24 HRS □ 72 HRS □ OTHER Analyzed ail of them for fiberglass 7. Sampling Areas: 10. Time in/Time out: O 6 HRS □ 48 HOURS Q NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.S NUMBER DESCRIPTION NUMBER PS234M-3/23/02- <3-1 Fiberglass- 2-1 Settled Dust PS234M-3/23/02- CC-SS A-oorO 9-1- Fiberglass- "J. 1- Settled Dust PS234M-3/23/02- C.\ c, Si V) ire ON -5_-X—I C J) 'iA- Fiberglass- PS234M-3/23/02- Settled Dust Aid C \ 038 J) un­ Fiberglass- 2-'-r settled Dust PS234M-3/23/02- Fiberglass- 2.^ Settled Dust PS234M-3/23/02- Fiberglass- O-C Settled Dust PS234M-3/23/02- C-Ve-Si 4 op Fiberglass- 0.-T Settled Dust PS234M-3/23/02- C.\c,^ i Tf oo irfN Fiberglass- S-'k Settled Dust /cD PS234M-3/23/02- (V *.*1 Fiberglass- 2-^ PS234M-3/23/02- Settled Dust XL) rr> T.\S 3® cA<^is Fiberglass- Settled Dust CHAIN OF CUSTODY 17. Relinquished By; 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time; 23. Method of Submittal: FIELD JeV"- W.ALK IN US MAIL FED-X OTHER

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

24a. Analyzed By:

24b Analyzed By: 24c. QC By:

Filename: P:\USERS\DATA\WP96\Wp\FOIUvlS\NY-l2.XLS Form NY-13

CONFIDENTIAL, CITY_21MC100_0 11530650 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000175983

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NYC-WTC_000175983Source: NYC Law Department, mirrored locally

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