NYC-WTC_000199132

NYC 9/11 Public Portal Document Page 1 of 4 ATC ASSOCIATES INC. BATCH NO. 20260 BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Client: NYC - BOE 12. Project Nam AHERA REINSPECTION 3. Project # 14584-0823 2a. Project Address:292 Greenwich street, New York,NY10007 5. Date: 6. Building Name:P.S.234M 8. Turnaround Time: •.STAT 4. Project Manager: Yiannis Efstathiou OTHER 4/13/02 7. Sampling Areas: E=trc 6 HRS 48 HOURS NORMAL RusH SAMPLE ID MATERIAL LOCATION H.A.# NUMBER DESCRIPTION PS234M-4/13/02- 1 Fiberglass- 1 Settled Dust PS234M-4/13/02- 2 Fiberglass- 2 Settled Dust PS234M-4/13/02- Fiberglass- 3 Settled Dust PS234M-4/13/02- 4 Fiberglass- 4 Settled Dust PS234M-4/13/02- 5 Fiberglass- 5 Settled Dust 6 PS234M-4/13/02- Fiberglass- 6 Settled Dust PS234M-4/13/02- 7 Fiberglass- 7 Settled Dust PS234M-4/13/02- 8 Fiberglass- § Settled Dust PS234M-4/13/02- Large Play Ground North (Ground Concrete Surlece) bade pl Play Ground Seroth concrete Surlace) Large Playhround Conter (Ground conerete Surdcce) Large plny amcuntr west concrate Surface) Large Play Ground Fast (hround concrete Surtace) Small PlayGround Center (Gruund conerete Surface) Small play hround Ecst (hruund comcrate Surlace) Small Play lround west Ground Concrete surluce Marn Entrace North 9 Fiberglass- 9 Settled Dust PS234M-4/13/02- Marn Entrane East 10 Fiberglass- lo Settled Dust CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 121. Date: 4a. Investigator:Chacko Mathew 9. Comments (Field): Analyzed all of them for fiberglass 10. Time in / Time out: 10.00 /14.00 FLOOR RESULTS NUMBER ND NA ND N4 NA NA NA ND ND ND Oen 4hul E.A.CUAATENS C//13/0~ 122. Time: 23. Method of Submittal: 1100m FIELD [WALK IN US MATL PED-X OTHER 27. Comments (Lab): LAB INFORMATION 24. Name and Signature: 24a Analyzed By: N..A. Caartersa 24b. Analyzed By: 24c. OC By: Filename: P:IUSERSIDATAIWP961WPFORMSWNY-13.XLS NYC-WTC_000199132 25. Date: 26. Time: ffi3 Ar Form NY-13 CITY_21MC100_003031585