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NYC-WTC_000198908

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000198908
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NYC 9/11 Public Portal Document Page | of l -ATC ASSOCIATES INC. EATEN 779g 7 BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHERA REINSPECTION P Project # 14584-0819 4. Project Manager: ANDREAS ANDREOU 2a. Project Address:201 Warren Street. New York. NY 10282 4a. Investigator: Yiannis Efstathiou 5. Date: 6. Building Name:P.S. 89M 8. Turnaround Time: . 9. Comments (Field): Cc] STAT CT] 24 HRS C] 72 HRS Mo HER Analyzed all them for asbestos 7. Sampling Areas: Entire 2 10, Time in / Time out: li2hitlol Cours (Clasnours (2) norma KOSH | a SAMPLE LD MATERIAL LOCATION FLOOR RESULTS HAM NUMBER _ DESCRIPTION NUMBER PS89M - 12/11- Of CLASS ROa~ PSOCF , Fast s iDe- Settled Dust |USITYENT NN Dp Fon sue FieTErR— PS89M -12/11-O2. Settled Dust | , — — ND PS89M - 12/11- O2 CLASS Roos Sop , CART Settled Dust |SI25 UNWENT | TR CHG PS89M - 12/11-O4. ASSL Fi26 , Nor Pe Side. Settled Dust Forme Lhe. El ter | ND | PS89M - (2/11-05" ; Settled Dust at TR CHE PS89M - 12/11-O¢ CUMSSROOM PELE , North srde Settled Dust CNET thar ND CHAIN OF CUSTODY 17. Relinquished By: 18, Date:}19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of : Submittal: FIELD iults {8280 ete tt, Y | [$180 \Wwarem : US MAIL FED-X OTHER LAB INFORMATION 24. Name and Signature: 25. Date:}26. Time 27. Comments (Lab): a d oy 24u. Analyzed By & Lf. Cuar PA; c- KALIL 71 . A LL-4 <é AE. rf 4 24b. Analyzed By: ¢ : . 4c. OC By = Filename: P-A\USERS\DATA\WPOO\WP\FORMSINY-13.XLS Form NY-13 CITY_21MC100_003030784 NYC-WTC_000198908

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NYC-WTC_000198908Source: NYC Law Department, mirrored locally

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