NYC-WTC_000199136

NYC 9/11 Public Portal Document Page of 'ATC ASSOCIATES INC. BATCH NO. 20288 BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION T. Client: NYC - BOE [2. Project Nam AHERA REINSPECTION 3.-Project# 14584-0823 14. Project Manager: Yiannis Efstathiou 2a. Project Address:292 Greenwich street, New York,NY10007 4a. Investigator:Chacko Mathew 5. Date: 6. Building Name:P.S.234M 8. Turnaround Time: 24 HRS 4/2a/02 7. Sampling Areas: Entire 6 HR$ 48 HOURS 72 HRS NORMAL LOCATION OTHER RUSH 9. Comments (Field): Analyzed all of them for fiberglass 10. Time in / Time out: SAMPLE ID H.A.# NUMBER PS234M-4/20/02- Fiberglass- O! PS234M-4/20/02- Fiberglass- 02 PS234M-4/20/02- 3 Fiberglass- 03 PS234M-4/20/02- Fiberglass- 04 PS234M-4/20/02- 5 Fiberglass- 05 PS234M-4/20/02- 6 Fiberglass - 06 PS234M-4/20/02- 7 Fiberglass- CT PS234M-4/20/02- 8 Fiberglass- O8 PS234M-4/20/02- 9 Fiberglass- 09 PS234M-4/20/02- 10 Fiberglass- 1o •CHAIN OF CUSTODY 17. Relinquished By: 18. Date:19. Time: MATERIAL DESCRIPTION FLOOR NUMBER RESULTS Large Playhround Nurth Settled Dust ND Settled Dust Settled Dust Settled Dust Settled Dust Settled Dust Settled Dust Settled Dust Settled Dust Settled Dust (Ground Cunerele Sutace) East of harge play lruund (Ground cuncrete Sulure) West of harse pley srlece) (hround Concrete Canter of harge Play Ground (uround Concrete surlace) Small PlayGround North (hronnd concrete Surlacc) Smnl Play Ceround Sünth (uround cooncrete suilacr) Small PlayGround Conter (Ground Conerete Surlace) Main Entyance (.Grsund conerede Surtace) Main Entrance South (Ground loncrete surlacc) ND ND ND ND 1 ND 20. Received By: 21. Date: [22. Time: Leb n 1 423/65 MGuMAR 4/20/02 9Am 23. Method of Submittal: FIELD WALK IN US MAIL FED-X OTHER LAB INFORMATION 24. Name and Signature: 24a. Analyzed By: 24b. Analyzed By: 24c. QC By: 25. Date: 26. Time: 4(:ф) 27. Comments (Lab): plense aell 646- 772-1158 wiRewits Filename: P:\USERSIDATAIWP96\WP\FORMSINY-13.XLS Form NY-13 CITY_21MC100_003031606 NYC-WTC_000199136