Bulk sample data and chain of custody form for AHERA

NYC 9/11 Public Portal Document /lY C ASSOCIATES INC. BATCH NO. 2 y

BCLK SAMPLE DATA AND CHAIN OF Cl STODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AliERA REINSPECTION 3- Project’? 14?S4-tKii5 U Hniiccl Manager: 1'ia.nnis EfsUtriiiu

2a, Priiject Address: too Tririily Plate, New Yurk.NY10OOt) ■la, InvesligalotrChackci Mathew

yJTjrr 6, Building Name: MS.IT S To m .1 m u n d T J rrit^ Wcnm/nentsIFirJaR O STAT □ □ '2 hrs n OTHER Analyzed alt al them for f hrrrj jss 7. Sampling Areas: . □ 6 HRS □ as HOURS □ NORMAE 10 lime lii ■ Time out:

SAMPLE ID MATEHIAL LOCATION FLOOR mSLLTS M AJ> NUMBER DESCRIPTION .NUMBER MS33-6/,3,'faX Fiberglass- I M833-6//57c? Settled Dust <4*^ CUed( 'NJ f-i 'o-j SYc,,Y cr-ke fe //z Ce5l«.V'’1 1*3 $ Fiberglass- T- Settled Dust V3 iM833-6, /rial Ctoev 3 Fiberglass- 3 Settled Dust 11 /CZ MS33T7f7cT' c\e,si 3w*w\ 4^ V)OS Fiberglass- Settled Dust 5^^ V V<iC ’ 'b^Sog s Fiberglass- Settled Dust 5' MssHTIrTTr Fiberglass- Settled Dust t+ /T 3’'^ rUi'f 7 Fiberglass- "J Settled Dust ftvn 25o3 3 2^ fSVciyyA C*a\ AtKA tsL t O bb;^ Fiberglass- Settled Dust ^vtA icLv I M833-6,7j?0X^ 7 Fiberglass- Settled Dust EvaV-fc,tice. 1 M833-^7r7cT Fiberglass- Settled Dust CHAIN OF CUSTODY Please call Proj ect Manager 646-772-115 5 17. Kelmquisheil By: 18. Date: 19. Time: 20. Received By: 2!. Date: 22. Time: a. Method of SubmiBal: .FIELD

(L^ n..t dicL WALK IN US MAIL FED-X OTHER

CAB INFORMATION 24. Name and Signature: . । . - 7. 25, Date: 26- iirr.e 2 / Comments (Ijb):

24a. Analy^^d By: ZZpZHZ^ ?4b, Analyzed fly: Z4c.QCBy:

Filename P 'USERS^DATA'.WPWrWP'FORMS'rNY- H X1 S Form NY-U

CIT Yj2Ql?Elffi)E)NT)I)Tl3T 13 6 5

SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT

NYC-WTC_000178947