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NYC-WTC_000178960

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000178960
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NYC 9/11 Public Portal Document

Page of ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FOPAI PROJECT INFORMATION 1. Client: NYC - BOE 2- Project Nam AHER.-\ REINSPECTION 3. Project # 19)25-0246 4. Project Manager: X’£2-,7z7/S 2a. Project Address:345 Chambers Street, New York, NY 10007 4a. Invesiigator:Herant Antonyan

Date: 6. Building NameiStuyvesant 8. Turnaround Time .4. CoinincnU (Field): HS lM4'7i □ STAT □ 24 HRS □ 72 HRS 10OTHER Analyzed all them for fiberglass "■ Sampling Areas: Entire 10. Timejn / Time out: □ 6 HRS Q4S HOURS O NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER matT

Fiberglass Bulk - Settled Dust M477 -

Fiberglass Bulk - Settled Dust ~3ro^ 3 M477 - -3 Fiberglass Bulk - Settled Dust M477 - Fiberglass Bulk - Settled Dust Cc ,'- M477 - ■ Fiberglass Bulk - Settled Dust Pi> M477 - “

Fiberglass Bulk - Settled Dust 5 M477 - Fiberglass- Bulk - Settled Dust V7> M477 - Fiberglass Bulk - Settled Dust M477 - 2 rcL 3 23 Fiberglass Bulk - Settled Dust M477 - ... , J? tT //|> /4? Fiberglass Bulk - Settled Dust CHAIN OFCUSTODY/%a,s-e 17. Relinquished By; IS. Date: 19 Time 20. Received By; 21. Date: 22. Time: 23. Method of Submittal:

IS A- FIELD WALK IN L'S MAIL FED-.X OTHER

LAB INFORMATION Name and Signature: 25 Date: 20 Time: 27. Comments (Lab):

24a. Analyzed By.

-4b Analyzed By: Id f -4c. QC By:

Filename P T.iSEkS\DATA\WP9bAVP'J-i)RMS'.NY-1 3 ?<LS Form NY-1J

CONFIDENTIAL, CITY_21MC100_001903235 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008 NYC-WTC_000178960

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NYC-WTC_000178960Source: 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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