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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 I 104 East 25lh street, 10111 Floor . New York. NY 10010. Phone (212) 353 - 8280, FAX (212) 353 - 3599 or 8306 ELAP 10879

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f/.s Microscope OLYP BII-2 s Client / Project P,.i.c.No. H Analysis Dale Analyst Batch No. u

1 Field No. Asbestos Olher Non Gravimetric ( NOB )

03 Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results •/. co Graviiiieiiic (1106) Required Q I A Texture Morphology Extinction Cellulose Mineral Filler Organic o o Homogenily d RI I RIU Fiberglass Organic Binders Residue Hecnminentled □ # of Layers Asbestos □ DS Color Color.Pleo Other Vermiculile Caibonate Gidviiiietnc PREP Gravituemv (NOe) PLM Q □ Color of Layer Delecled Yes No Biref Sign Other Ollier W Giaviintliic (I JOB) TEM l^ Q-C. Asbestos

□ Comments: pairn ccutn RtSUlIS Oh UiE BACK Method; Q CLAP ♦ CPA* ELAf EHa' □ OTHtR SCAtlMIllG OPDOH : CLAP ( P.C ) & EPA* First 1 preps. Asbestos > 0

2 Field No., Other Non 1° Asbestos Gravimetric ( NOB ) Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results % <c « Color l-Y Mineral Filler l-i w Gravuneuic (fiuB) Texture Morphology Exlinclion Cfirysolile Cellulose Organic Required □ flomogenhy Bti RI U / “Xmosita Fiberglass Organic Binders Residue H Q z« wo Recommended □ # of Layers ±7 Asbestos □ 1^ DS Color Color.Pleo / Olher Olher Verinicolile Carbonate Q Hl W Gravirneinc PREP GrdvinittUic ttiOB) Pl M fJ Q Color of Layer Delected Yes No Biref ' Sign I Olher Other Z >

GravHTieihc (MOB) TEM 1_J| Comrnenfs: crtz Asbestos PDIMT COUKT RiSULtS Oil nit SACK Method: Q ELAP t EPA* Q ELAP Q EPa' Q OTllfS SCAUflING or DOH ; Euy> (PCJ. £pa‘ First 4 preps. Asbestos « 0

CL 3 Field No. Asbestos other Non Gravimelric ( NOB } Stereoscopic Exam PLM Optical Properties Results PLM •/. Fibrous % Fibrous % Results %

Gravuiieinc (NOB) Requited Q Color lexlure Morphology Exlinclion Chrysotile Cellulose Mineral Filler Organic bw Homogenily Rll RIU Amosite Fiberglass Organic Binders Residue Recummended □ # of Layers Asbestos □ □ DS Color CQ □ Gravirneinc PREP GiauiiiBlnc(MOB|PtM Q □ Color of Layer Delected Yes No Biref Color.Pleo

Sign Olher Olher Vernilculile

Other Carbonate

Other Gravinieinc |NOB)TEM Q Asbestos Comments: POIfTT COUNT RiSUKk ON Illf BACK Method: □ CLAf i EPA* Q ELAP Q fpA* Q QVHfH Q SCANNING OPTION i ELAP ( P.C. } 1 EPA* first 4 preps. Asbestos » 0

4 Flald No. Asbestos Olher Non Gravimetric ( NOB ) Stereoscopic Exam PLM Optical Properties Results PLM % Fibrous % Fibrous % Results ’/o

(Sravtinfelric (NOB) Color Texlure Morphology Exlinclion Chrysolite Cellulose Mineral Filler Required □ Homogenily RI I Rll _______ Amosile Fiberglass Organic Binders Organic

Hecommended □ 4 ot Layers Asbestos □ □ DS Color Color.Pleo _______ Olher Other Residue

Gravirneinc PREP GravuiielncirlOBlPLM Q □ Color of Layer Delected Yes No Biref Sign Vermiculile

Olher Carbonate

Other G»avtni&l(ic (NOB| TEM Comments: Asbestos FCUHT COUNT Method: Q el*p ♦ epa' qeulp q tPA* Q OTHER Q SCANNUIG OPnorr J ELAP { p.C. ) A EPA* First 4 preps. Asbestos « 0 BtSUl IS ON n<( BACK

NYC-WTC_000177652

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NYC-WTC_000177652Source: NYC Law Department, mirrored locally

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