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NYC-WTC_000199053

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199053–000199056
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NYC 9/11 Public Portal Document

Page of H- ATC ASSOCIATES INC. BATCH NO. ___________ BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I Client: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-0823 4. Project Manager'Viannis Efsuthiou

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

5. Date: 67WIdjngNarne?P:ST34M 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS Q OTHER Analyzed all them for fiberglass 10. Time in / Time out: 3^ 7. Sampling Areas: □ 6 HRS 048 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS

H.A.# NUMBER DESCRIPTION NUMBER

PS234M-3/902 (.•.au-Y. A

o' Fiberglass- O 1 Settled Dust w tiV Up PS234M-3/902 Ut*w.-inJs

ox Fiberglass- OX Settled Dust hio I V+n S. Ae. PS234M-3/902 >«««*' J . , V Di Fiberglass- 03 Settled Dust te- sV £.'«=- PS234M-3/902 t v-> V-j SA CA Fiberglass- C'lf Settled Dust C*."< K IS PS234M-3/902 dS Fiberglass- Settled Dust ) PS234M-3/902 euV NAe- bi-sVvs NNu.vs Ot Fiberglass- C’^ Settled Dust PS234M-3/902 Fiberglass- O'} Settled Dust - vi Ss "k *- / Cu.-vc-it Ve- ) PS234M-3/902 Fiberglass- c Settled Dust CUsivivti

PS234M-3/902 C.X

o<i Fiberglass- ofj Settled Dust Ccwe,e\e

PS234M-3/902 CtSii-w i- 9 s K<

10 Fiberglass- jg 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 CSMAIL 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:

Filename P\USERS\DATA\WP96\WP\FORMS\NY.13.XLS Form NY-13

CITY_21MC100_003030962

NYC-WTC_000199053

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NYC-WTC_000199053Source: NYC Law Department, mirrored locally

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