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NYC-WTC_000196765

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NYC 9/11 Public Portal Document

/ Page of

ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I Client NYC - ©OE 2 Project Name PS 42M 3 Project# 14584-0871 4 Project Manager Yiannis Efsuthiou

'2a Project Address 71 Hester Street, New York,NY 10002 4a Investigator Mark Nakhumovich

15 Date 6 Building Name. P S 42M s Turnaround Time 9. Comments (Field): □ stat □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7 Sampling Areas 10 Time in / Time out □ 6 HRS □48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S. 42M-9/3/02- J-sA ^-(cor Fiberglass- ( Settled Dust

aJ7 P.S. 42M-9/3/02- Fiberglass- '2, Settled Dust P.S. 42M-9/3/02- /^cedi-k'nctw XU Fiberglass- 3 Settled Dust P.S. 42M-9/3/02- Fiberglass- Settled Dust O rfiPrA -/A .^<0 (1 "T zcfor / P.S. 42M-9/3/02- Fiberglass- Settled Dust (5 P.S. 42M-9/3/02- Q Fiberglass- Settled Dust P.S. 42M-9/3/02- ■)

Fiberglass- 7 Settled Dust P.S. 42M-9/3/02- 8 Fiberglass- Settled Dust ZZ . P.S. 42M-9/3/02- Fiberglass- Q Settled Dust P.S. 42M-9/3/02- to Fiberglass- Settled Dust CHAIN OF CUSTODY Please call Project Manager 646-772-1155 17 Relinquished By 18 Date 19 Time 20 Received By 21 Date 22 Time 23 Method of Submittal FIELD walk IN US MAIL FED-X OTHER

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

24a Analyzed By /H. /D ZY

24b. Analyzed By 24c QC By

Filename P MJSERS\DATA\WP96\WP1FORMS\NY.13 XLS FomiNY-D

CITY_21MC1OO_OO3O42867

NYC-WTC_000196765

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NYC-WTC_000196765Source: NYC Law Department, mirrored locally

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