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NYC-WTC_000196541

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000196541–000196544
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Scanned page image, NYC-WTC_000196542
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NYC 9/11 Public Portal Document

Page of H ATC ASSOCIATES INC. BATCH NO. ' --C l H BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC-BOE 2. Project Nam AHERA REINSPECTION '3 Project# 14584-0823 4. Project ManageriYiannis Efstathiou

2a. Project Address;292 Greenwich street, New York, NY 10007 4a. lnvesligator:Chacko Mathew

5. Date: 6. Building Name:P.S.234M S Turnaround Time: 9. Comments (Field): Q STAT Q 24 HRS □ 72 HRS □ OTHER Analyzed all them for fiberglass 7. Sampling Areas: 10. Time in / Time out: O 6 HRS n 48 HOURS O NORMAL SAMPLE ID material LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M^79O2 v-Ci)- S'

u Fiberglass- \ Settled Dust ■Vp,

PS234M-3/902 13-to

w Fiberglass- jv Settled Dust C J) PS234M-3/902 Fiberglass- ; 3> Settled Dust PS234M-3/902 1*4 Fiberglass- Settled Dust PS234M-3/902 Fiberglass- I5 Settled Dust PS234M-3/902 it Fiberglass- (L Settled Dust CA c. ' S .AH )

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n Fiberglass- t7 Settled Dust PS234M-3/9G2 C \c»S s D T-'>T Fiberglass- js; Settled Dust J) PS234M-3/902 CVuss 0-1G IS Fiberglass- Settled Dust PS234M-3/902 CV<-S) '3-2-S

Fiberglass- Settled Dust ClotjY

CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD U A, ,1. 1 WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 15. Date: 16. Time: 27. Comments (Lab): 24a. Analyzed By: 24b. Analyzed By: 7^ 24c. QC By:

Filename: P:\USERS\DATA\WP96\WP\FORMS\NY-13.XLS Pnrm MV. 11 CITY_21MC100_003057620

NYC-WTC_000196542

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NYC-WTC_000196542Source: NYC Law Department, mirrored locally

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