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NYC-WTC_000178632

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NYC 9/11 Public Portal Document

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ATC ASSOCIATES INC. BATCH NO. ./ , .

BULK SAMPLE DATA AND CHAIN OF CUSTODY LOK)I PROJECT INFORMATION 1, Client: NYC ■ BOE 2 Project Nam AHERA REINSPECTION i. Project# 19125-0246 4. Project Manager;

2a. Project Address:345 Chambers Street, New York, NY 10007 4a. Investigator Hcrant Antonyan

5. Date; 6? Building NametStuyvesant 8. Turnaround Time: 9. Comments (Field): HS (M477) □ STAT 0 24 HRS Q 72 HRS 10OTHER Analyzed all them for fiberglass ^^5X3/^ 7, Sampling Areas; Entire Os HRS O ‘*8 HOURS O NORMAL 10. Time in / Time out;

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.» NUMBER DESCRIPTION .NUMBER M477- / Fiberglass Bulk - Settled Dust M477- a Fiberglass Bulk - Settled Dust 3 M477. 3 Fiberglass Bulk - Settled Dust M477- “ Fiberglass Bulk - Settled Dust M477 - Fiberglass Bulk - Settled Dust a Zi;? Fiberglass Bulk - Settled Dust M477 - 7" Fiberglass Bulk - Settled Dust M477- 8 Fiberglass Bulk - Settled Dust A>7> M477 - 3 Fiberglass Bulk- Settled Dust M477 - /O Fiberglass Bulk - Settled Dust nsr CHAIN OF CUSTOPY/%<,s< /ft 17. Relinquished By: 18- Date: 19. Time: 20. Received By;*^ 21. Date; 22. Time: 23. Method of .Submittal: FIELD walk, in US mail FED-.X OTHER

LAB INFORMATION 24 Name and Signature: 25 Date: 26 Time: 27 (?onmeniE iLabl

24a Analyzed By: <1 24b Analyzed By 24c. OC By:

Filename P IUSERS1DATA\WPO61WP'FOIIMS\N Y-1J XL5 : CiTii

CONFIDENTIAL, CITY_21MC100_003390230 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000178632

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NYC-WTC_000178632Source: NYC Law Department, mirrored locally

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Chain of custody form and data sheet for bulk asbestos samples collected at P.S. 89M on Warren Street during AHERA reinspection.

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