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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_000196543
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NYC 9/11 Public Portal Document

Page of H- ATC ASSOCIATES INC. BATCH NO. ----------------------- l£LW-i 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 ManagertYiannis Efstathiou

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

5. Date: 6. BuildingName;P.S.234M 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS □ OTHER Analyzed all them for fiberglass 7. Sampling Areas: 10. Time in / Time out: 3 hi 1 QeHRS □ 48 HOURS O NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER

PS234M-3/902 c\z,ss xc-'-vM Fiberglass- 9_\ Settled Dust ' ( V \c3 t 1 ) il/P PS234M-3/902 C \ tv S 'X IS £ -n

Fiberglass- Settled Dust c PS234M-3/902 cTv,h,s T '^3 Fiberglass- 7,2, Settled Dust Q rVoiW ) PS234M-3/902 ( A'a; 2-M Fiberglass- 9_ M Settled Dust PS234M-3/902 Xoc’. a 07-

Fiberglass- >- S Settled Dust PS234M-3/902 C s. t

2-t Fiberglass- 3. Settled Dust PS234M-3/902 an Fiberglass- Settled Dust PS234M-3/902 C \£A ss A O-X

Fiberglass- 2.<^ Settled Dust f f Vo.=-i ) PS234M-3/902 C\£-i.S ' <S as Fiberglass- Cu') Settled Dust Q V Vcc. / PS234M-3/902 cUss X dtp m

Fiberglass- 31 Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD WALK IN

F" US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab):

24a. Analyzed By:

24b. Analyzed By: 24c. QC By:

Piipnnm,. P 11 ispRitinATAtwpofiiwptmn uQiwv.11 vi c CITY_21MC10 0_0 03C)5 7621

NYC-WTC_000196543

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NYC-WTC_000196543Source: NYC Law Department, mirrored locally

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