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NYC-WTC_000193471
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NYC 9/11 Public Portal Document
NEW YORK CITY BOARD OF EDUCATION GENERAL FIELD VERIFICATION FORM
NAME OF THE CONSULTING FIRM: ATC Associates Inc. SPECIFICATION NO.:
SCHOOL: s r-O’i ADDRESS: N -1 * Otfo L
TYPE OF SERVICES PROVIDED: (check as applicable)
□ ASBESTOS TECHNICIAN □ PROJECT DESIGNER* LJMISC. CONSULTING SERVICES ® AIR SAMPLING TECHNICIAN □ PROJECT MONITOR
LOCATiONS(S): ""TV jVvov. V WORK PERFORMED:K'-r
DATE TIME NAME OF THE NAME & SIGNATURE IN PROFESSIONAL OF AUTHORIZED PERSONNEL CUSTODIAN/PRINCIPAL Mi name (print) signature name (print) signature C • tA.c.VvxeU -I*" C
Q 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 Project Monitor's total no. of hours: o co o Mise, consulting services no. of hours:
NYC-WTC_000193471
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NYC-WTC_000193471Source: NYC Law Department, mirrored locally
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