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NYC-WTC_000198911
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OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
Page of
ATC ASSOCIATES INC. BATCH NO. , _
BULK SAMPLE DATA AND CHAIN OF CUSTODLY FORM PROJECT INFORMATION 1. Client; NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-0819 4. Project Manager; ANDREAS ANDREOU
2a. Project Address:20I Warren Street, New York, NY 10282 4a. InvestigatoriYiannis Efstathiou
5. Date: 6, BuirdingName?PS^9M sTTurnarounaTirfi^ 9^Comments (Field): □ STAT □ 24 HRS □ 72 HRS □ OTHER Analyzed all them for asbestos 7. Sampling Areas; Playground 10. Time in / Time out; /////ooL □ 6 HRS □ 48 HOURS □ NORMAL f 7, ■■ SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS89M-1/II/02- Bulk f PS89M-I/II/02- Settled Dust /VP Bulk -OQ PS89M - l/11/02- Settled Dust fOcin /o^ filn Bulk - 03 PS89M-I/II/02- Settled Dust ND Bulk-Qj Settled Dust PS89M-I/II/02-
Bulk - Settled Dust Nd
CHAIN OF CUSTODY 1 7. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD
if WALK IN // US MAIL FED-X OTHER
LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab):
24a. Analyzed By; ijll^c^ 24b. Analyzed By: 24c. QC By;
Filename: P:\USERS\DATA\WP96\WP\FORMS\NY.13 XLS Form NY-13
CITY_21MC100_003030794
NYC-WTC_000198911
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NYC-WTC_000198911Source: NYC Law Department, mirrored locally
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