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Bulk asbestos analysis sheet form, ATC Associates, Oct 2001

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Standardized data collection form for recording bulk asbestos analysis results performed by ATC Associates for the Board of Education.

NYC-WTC_000177650–000177652
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NYC 9/11 Public Portal Document

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o ATC ASSOCIATES INC - NEW YORK BULK ASBESTOS ANALYSIS SHEET NVLAP 101187 o I o 104 East 25lh Street. 10th Floor . New York. NY 10010 . Phone (212) 353 - 8280. FAX (212) 353 - 3599 or 8306 ELAP 10870

Microscope OLYP BH-2 u s Client / PiojecI , 1 H Analysis Data Balch No. u

1 Field No. . Asbestos Other Non Gravimetric ( NOB ) 0 \ Stereoscopic Exam PLM Optical Properties Results PLM •/. Fibrous % Fibrous % Results •/. I Mineral Filler co Giavimetnc (NOB) Color Texlure Morphology Extinction Chryjeffle Cellulose Organic Required Q o Homogenily* RU RIB iite Fiberglass Organic Binders Residue Rdconmiended □ # of Layers Asbeslos □ OS Color : Color.Pleo Other Vermiculite Carhonata Gravitnelric PREP GravMnetiTCtriOBfPLM Q □ Color of Layer Delecled Yes No Btref Sign Other Other H CM r^aviiiTeliic(NOe)TEM Q W Comments: Asbeslos 71 poiifTcouirr Rtsuns Oh THt BACK Method: Q ELAP ♦ CPA' Q ELAP Q EPA' Q OTHER ( SCATtfHHG OPTTOn i ELAP ( P.C ) S £Pa'

»—11 1 Fint preps. Asbestos > 0 □' CO

2 Field No. Asbeslos other Non Gravimetric ( NOB ) O 0 Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results */b

Gravintetne (NOB) Color Texture Morphology Extinct ion Chrysotile Cellulase Mineral Filler Organic M W Required I I H n RecoinnTdnded Q Hornogenity RIt RI ii Atposile Fiberglass Organic Binders Residue zM «O Gravirneiric PREP Q ff of Layers Asbeslos Q DS Color Color.PIeo ^/Dther Vermiculite Carbonate Q 1-1 w Gravimehic (NOB) PLM Color of Layer Delecled No BIref ' Sign Other Other z> Gravimeinc INQB) T6W Q O H Comments: Asbeslos u uw ————poiffTcOUMT HESUITS OU DU BACK Method: Q CLAPaEPA’ QELAP QEpa* Q OTHER A SCAWIIHG OPTION 1 CLAP ( P.C. >T EPa' Fiist 4 prepi. Asbestos « 0 □ H O

3 Field No. Asbestos Other Non Gravimetric { NOB ) o 7 Stereoscopic Exam PLM Optical Properties Results PLM Fibrous % Fibrous % Results % H Gravinietnc (NOB) Color Texture Morphology Extinction Chrysotile C7 Cellulose Mineiel Filler Organic Requifrid Q U Homogenily RI I RtU Amosite Fiberglass Organic Binders Residue W Recommenaed □ U of Layers Asbeslos □ SJ Carbonate CQ Gravirneiric PREP Grauihelnc(riOB)PLM Q □ Color of Layer Delecled Yes No DS Color

BIref Color,Pleo

Sign Z Other Other < Vermiculite

Other Other D 71

GravimeincgiOBITEM Q Conuuents. Asbeslos POIfTT COUKT Rt»ULIk OM lilt BACK Method: Q CLAP * epa‘ q clap q epa‘ Q other SCAIMIING OPTION I CLAP ( P.C. ) A EPA* First preps. Asbestos « 0 □ 4 Field No. Asbestos Other Non Gravimetric { NOB ) Stereoscopic Exam PLM Optical Properties Results PLM Fibrous % Fibrous % Results % Giavnoeinc Color Morphology j Cellulose Taxlure Extinction ^hrysolile fj Mineral Filler Organic Requtied Q Homogenily RI I Riii Amosile Fiberglass Organic Binders Residue RecutiifiieiuleU

GravimelncPREP Q # of Layers Asbestos a DS Color Color.PIeo Olhef Other / Vermiculite Carbonate

Graviinetnc (NOB) PLM Q Color of Layer Delected Yes No BIref Sign Other Other Giaviinelric(NOB)TEM Q Comments: ox Asbestos pcHMT courrr KCSULISOH tut BALK Method: Q elap t CPA' qeup qcm’ Q OTHER SKIING OPTION 1 ElAP (P.C ) t EPA* First 1 preps. Asbestos > 0 □

NYC-WTC_000177650

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NYC-WTC_000177650Source: NYC Law Department, mirrored locally

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