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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. ------------------ 2X2174 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 Manager: Yiannis Efstathiou

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

[STDatT 6. Building Name:P.S.234M 8. Turnaround Time: 9. Comments (Field): Q STAT □ 24 HRS Q hrs Q other Analyzed all them for fiberglass 7. Sampling Areas: 10. Time in / Time out: T I 91 <■■>- Os HRS 0^8 HOURS Q NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M-3/902 CAzaSS </)> 7-1 Fiberglass- >L\ Settled Dust ■ ( V 1 bi 1 )

PS234M-3/902 cAtvi 2.7, Fiberglass- JlT- Settled Dust C. PS234M-3/902 C-\6, st, T rp, 5-0-^

^3 Fiberglass- Settled Dust PS234M-3/902

2-M Fiberglass- ‘j. M Settled Dust PS234M-3/902 C.\z,ss XOC’.VS a v.-J- YS Fiberglass- 7-S Settled Dust f } PS234M-3/902 C\«.iS.\ Yc-bx-)

Fiberglass- 2. t Settled Dust PS234M-3/902 Ti-G an Fiberglass- 2.'7 Settled Dust PS234M-3/902 C \c, m 40 rrv Y J-S Fiberglass- 3.^ Settled Dust r tc-v-i )

PS234M-3/902 C. \ c-t. 9 as Fiberglass- D.') Settled Dust PS234M-3/902 -y u b m \\

% - Fiberglass- 3-v Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD ^7^ WALK IN 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:

Filename: P:\LSERS\DATA\WP96\WP\FORMS\NY-13.XLS FormNY-U

CITY_21MC100_003030964

NYC-WTC_000199055

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NYC-WTC_000199055Source: NYC Law Department, mirrored locally

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