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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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ATC ASSOCIATES INC - NEW YORK BULK ASBESTOS ANALYSIS SHEET NVLAP 101187

104 East 25lh street, 10lh Floor .New York, NY 10010. Phone (212) 353 - 8280, FAX (212) 353 - 3599 or 8306 ELAP loazo

Mtcroicopa OLYP BH-2 U

WC (^0^ (AlT/T. Client / Project Project No. _________________ I

Analysis Date Analyst Batch No. u

1 FleltJ No. Asbestos other Non Gravlmelflc ( NOB )

I? Stereoscopic Exatn PLM Optical Properties Results PLM % Fibrous % Fibrous % Results % co <3faviiiib(rtc (HOB) Color Texture Morphology Cellulose IO Mineral Filler

□ Exlinclion Chrysotile Organic Required Homogenily^ RH RI 11 Organic Binders Residue Recofnntended □ □ Arposile ydther Gravimeinc PREP GravHiieUic (MOB) PLM Q □ # ul Layers

Color of I ayer Asbestos

Delecled Yes No OS Color

Biref Color.Pleo

Sign Vermiculite

Other Carbonate

Other H eu w Gravimemc (HOB) TEM Q Comments: Asbestos w poiifTcoufa RCS(>II& ON IHf BACK Melhod; Q ELAf ♦ EPa' Q ELV Pj EPa' OTHER SCAEUIlnG OPTION 1 ELAP ( PC) A EPA' First 1 preps. Asbestos = 0 C<i

2 Field No. I Asbestos Other Non Gravimetric ( NOB } -g 0 b Stereoscopic Exam PLM Optical Properties Results PLM */. Fibrous % Fibrous % Results % M M Gravinteinc (HOB) Required

Recomniendod □ □ Color

Hurnogenily

tf of Layers fez Texture

□ Morphology

RI I ExUncUon

RIH /sotile

isile 'Y Cellulose

Fiberglass LO Mineral Filler Organic Binders Organic

Residue Pl O

M O

S w □ Asbestos OS Color Color.Pleo Other Vermiculite Caiboiiale ofavitneinc PKtP Graviinatnc (HOB) PLM

Gravimetric (HOB) TEM Q Culoi of Layer

Comments: Oelecled Yes No BIrer " Sign 7 Q.C. Olher Olher

Asbestos tn > Z M Sbw POINT COUKT RfSULIi ON IHE MACK Method: Q tor . Ks' Qeixe QEfA' Q OlHtA Q scATuiiriG Of"noli: elap (px.) & £pa' First 4 preps. Asbestos = 0 □ s CH 3 Field No. Asbestos Olher Non Gravimetric ( NOB ) o Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results % H Gravinieliic (HOB) Colui Texture Morphology Extinction Chrysotile Cellulose Mineral Filler Organic H Required El u Hoinogenlly w RI I RIU Amosite Fiberglass Oiganic Binders Residue Recommended

Gravimalfic PREP Q

Q # of Layers Asbestos □ DS Color Color.Pleo Other Other , Vermiculite Carbonate fCl □ Gravimalric (MOB) PLM { Color of Layer Delected Yes No QUef Sign Olher Olher (l __ Gfavimelnc(NOB)lEM Q ticz □ Comments: Asbestos POINT COOMT fUSULIS OH me BACK Melhod: □ «*F*«f*‘ Qtt^ Q^a' Q OIHCH SCXimiMG OfTlOtl I ELAP (f.C.) 1 Ef»' First 4 rx«P4 Asbestos « 0

4 Field No. Asbestos Olher Non Gravimetric ( NOB )

n Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results %

Giavimeihc (HOB) Required □ Color

Homogenit) Texlurd Morphology

RI I Extinction

RIH ' Chrysotile

Amosite Cellulose

________ Fiberglass (? Mineral Filler

Organic Binders Organic

Residue Recommended o fef, O»»r J Q f Asbestos DS Color Gravimelnc PREP Graviineinc (HOB) Pl M □ # of Layers

Color of Layer Delecled Yes No Biref Color.Pleo

Sign Olher Vermiculite

other Carbonate

Ollier t>avimei(ic(MOBITEM Q Comments: O.c. Asheslcs rOJMT CQUffT AtSUITS OH THE BACK Melhod: □ eiap , epa' qelap qepa' Q ornes SCAhtllHG ^nOH 1 EIAP ( P C. ) & Epa' flrat 1 prtps. Asbeslos - 0 □

NYC-WTC_000177651

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NYC-WTC_000177651Source: NYC Law Department, mirrored locally

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