3 shared non-person entities · 1 shared topics · similarity 0.991
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General Field Verification Form, PS 89 M, undated
Machine-extracted title · confidence 96%Form verifying on-site asbestos technician and air sampling services performed by ATC Associates Inc. at a New York City Board of Education school.
NYC-WTC_000185964Page image
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NYC 9/11 Public Portal Document
NEW YORK CITY BOARD OF EDUCATION GENERAL FIELD VERIFICATION FORM
NAME Ol- THE CONSULTING FIRM: ATC Associates Inc. SPECIFICATION NO :
SCHOOL: ^5^ g-CC:------------ ADDRESS: r TYPE OF,S,ERVICES PROVIDED: (check as aRplie.able)
□ ASBESTOS TECHNICIAN □ PROJECT DESIGNER* MISC. CONSULTING SERVICES O AIR SAMPLING TECHMCIAN □ PROJECT MONITOR WORK PERFORMED: y;4(S S LOCATIONS(S):
DATE TIME NAME OF THE NAME & SIGNATURE IN OUT PROFESSIONAL OF AUTHORIZED PERSONNEL -J, ,* ' -8 " r- -(aup >1 CUSTODIAN/PRINGIPAL - - name (print) signature name (print) :/j signat^o
Sean Case hop (A ■7:ppAfi l/:po(n □ o 5 SMasESBsr-r'
H NOTE: Please complete the following as applicable, indicate "N/A" if not applicable. K I Asbestos inspector's no. of school visits: s o Air Sampling Technician’s no. of school visits: o o ‘Minimum payment for Project Designer's services shall be four (4) times the unit price per hour. I o o Project Monitor's total no. of hours: ! co
o r/lisc. consulting services no. of hours: co cn
NYC-WTC_000185964
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NYC-WTC_000185964Source: NYC Law Department, mirrored locally
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