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NYC-WTC_000199132

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199132–000199135
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NYC 9/11 Public Portal Document

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ATC ASSOCIATES INC. BATGH NO.

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.NY10007 4a. InvestigatorChacko Mathew

STDate; 6. Building h/ame.P.S.234M 8. turnaround time; 9. Comments (Field): □ STAT Q 24 HRS □ 72 HRS Q OTHER Analyzed all of them for fiberglass MI 131 O Areas; 10. Time in / Time out; CwA'-xe. □ 6HRS □ 48 HOURS □ NORMAL J> U to /m- t*^ SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS234M-4/13/02- u Fiberglass- U Settled Dust tA.env\ G.v\^ 1 PS234M-4/13/02- Fiberglass- VV Settled Dust I PS234M-4/13/02- (3 Fiberglass- *5 Settled Dust 11J vn I PS234M-4/13/02- Ilf Fiberglass- Settled Dust 1 PS234M-4/13/02- C\a Si -X IX'V- Fiberglass- \ f Settled Dust 1 PS234M.4/13/02- It Fiberglass- Settled Dust PS234M-4/13/02- Fiberglass- V.~f Settled Dust o\*ii -tO’S.wx I PS234M-4/13/02- c\c.Ai Noowx -4^ lit Fiberglass- IS Settled Dust PS234M-4/13/02- cc. K-nx IX, S Fiberglass- Settled Dust PS234M-4/13/02- C\«,ii "tocvn -XU Fiberglass- Xd 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 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:\USERS\DATA\WP96\WP\FORMS\NY-13 .XLS FonnNY.n

CITY_21MC100_003031586

NYC-WTC_000199133

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NYC-WTC_000199133Source: NYC Law Department, mirrored locally

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Chain of custody form and data sheet for bulk asbestos samples collected at P.S. 89M on Warren Street during AHERA reinspection.

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