NYC-WTC_000199128

NYC 9/11 Public Portal Document

Page I of “f- ASSOCIATES INC. BATCH NO. _

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1, Client; NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project,7 14584-082-3 4. Project Manager:Yiannis Elstatliiou

2a. Project Address;^^ York.NYlOQS J*- 4a. Investigator:Chacko Mathc

5. Date: 6. Building Name:!/’ y 43^ 8. Turnaround Time: 9. Continents (Field): □ STAT □ 24 HRS □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10. Time in / Time out: el >4 T X v3 0 6 HRS 048 HOURS 0 NORMAL SAMPLE ID MATERIAL LOCATION FLOOR RESLLTS H.A.# NUMBER DESCRIPTION NUMBER PW*4,/6/02- islttVY 1 Fiberglass- o \ Settled Dust bbHC-nA t o nt-At Vie 1 .v/\ ?5.2j/C4/6.a)2- ^1- Vm 1 7- Fiberglass- Q J- Settled Dust QUh- -h X Cc rsUMt Ve Qj A .-Ui. XY) FS-iyy^4/6/02- 'Ki 4. s V if' iUc.H-je (axs .h i. \ 3 Fiberglass- oj Settled Dust (.Aiu -sn X /J/} ftU^'4/6/02- G-sV A i— 4^ Fiberglass- Settled Dust U Ha .s A Coxi.xc.Y<-

f5a3/y-4/6/02- Ce cy <Sa Fiberglass- 05 Settled Dust b LkNi-.A A s' XYi P35J»^ 4/6/02- Mo ,W I ///) b Fiberglass- Ob Settled Dust f bsiAA X Cc-.xl.Ni V S.A... y eri9<iM/6/02- Uh.-nA ■7 Fiberglass- C’"t Settled Dust V Ox H a A Cc.xC<«\t 1 e/23)^/-4/6/02- CevxXc. T

Fiberglass- t) Settled Dust ^b-H C "i-i I «Ja3!j^-4/6/02- hVt. .A G. Nc-A ce Ce \tZ

Fiberglass- Ca; Settled Dust i,. A K ti, /J/} (»^^^/6/O2- IiRi.xy\ C.A Vt «_

Fiberglass- |o Settled Dust CVxXa„xu\ Ceaxi-veVt

CHAIN OF CUSTODY !7. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time:----- 23. Method of

w Submittal: FIELD WALK IN 7 US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date,: 26. Time: 27. Comments (Lab): 24a. Analyzed By: 7/7F 24b. Analyzed By: 24c. QC By: ZZZ Filename P I.SERS'DATAtWPW-WP'FOILMS'.NY l’XLS Form NY-13

CITY_21MC100_003031566

NYC-WTC_000199128