NYC-WTC_000199128

NYC 9/11 Public Portal Document

Page of ‘f’ ATC ASSOCIATES INC. BATCH iNO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT informahon I. Client; NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-0«aj 4. Project ManageriYiannis Elstatliiou

2a. Project Mdress-.j^jGvorutiaij^u^ev/ York,NYHJOO/- 4a. InvestigatorChacko Mathew

i. Date: 6. Building Name:p5 3*//^ 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS □ OTHER Analyzed all of them for fiberglass 03- 7, Sampling Areas: 10. Time in / Time out: M G N 3 s #. Q 6 HRS □ 48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H-A.# NUMBER DESCRIPTION NUMBER PSi34y-4/6/02- I Sc. A vv\ 1 Fiberglass- Settled Dust s-A*-- C,N SL \ CN . c e ys\c Y a Settled Dust 1 Fiberglass- »Y PJjy}«*4/6/02-“

Fiberglass- Settled Dust I /’TaJlft<a/6/02- Fiberglass- i Ly Settled Dust I ’y4^-«1/6/02- Fiberglass- 'S Settled Dust c\c. ' \ nJ i /n lib /LA P5lZJ|^-«i/6/02- C\uYS Toe II Fiberglass- IL Settled Dust /CM !>s;ajji«'-4/6/02- n Fiberglass- \ Settled Dust \.U..-rrs \T.<= I

Fiberglass- I Settled Dust C \<4 S \ '1 j -c rn I /Ua r^a3>W/6/02- '1 Fiberglass- 1 <=1 Settled Dust Zn-, sc \ I

Xc Fiberglass- 3,0 Settled Dust As) A\ X /^Z) CHAIN OF CUSTODY 17. Relinquished By: 13. Date: 19, Time: 20. Receivea By: 21. Date: 22. Time: 23. Method of Submittal:

7—~ FIELD walk IN Yrv US MAIL FED-X OTHER

LAB INFORMATION 24 Name and Signature: 2; pate; 2b. T'me; 27. Comments (Lab): 24a. .\nalyzed By: 7^ 24b. .Analyzed Bv: 24c. QC By zzz CITY_21MC100_003031567

NYC-WTC_000199129