NYC-WTC_000199143

NYC 9/11 Public Portal Document

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ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHERA RBINSPECTION 3.. Projects 14584-0823 4. Project Manager:Yiannis Efstathiou

2a. Project Address:292 Greenwich sheet, New York.NYlOOO? 4a. InvestigatoriChacko Mathew

5. Date; '6. Building Name: P.S.234M 8. Turnaround Time: 9. Comments (Field); □ STAT □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: 10. Time in / Time out: □ 6 HRS □ 48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER P.S.234M-5/18/02- i- t V e, p ' ‘"J L Acs, r, A \N c'-A \

0\ Fiberglass- ) P.S.234M-5/18/02- Settled Dust ChAo-iVi Ccoc v-cVr I 7^ 1 CL Fiberglass- T- Settled Dust CCAAc.rt'k CLr,c.-<e.Ve P.S.234M-5/18/02- Cr- aXpV Fiberglass- 3> Settled Dust CA3ciC<ly<N te rse.-tC- Ve P.S.234M-5/18/02- UcAAtr^C.. U-.uhA

Fiberglass- Settled Dust ( Vv A J C. sA Cc I' c C t»s. r. ) 1 P.S.234M-5/18/02- V-U-l^e .4, N.-t Vav,

Fiberglass- 5 Settled Dust A (c.n c-’c-re P.S.234M-5/18/02- v\ .SCI

cl Fiberglass- Settled Dust (crnrl P.S.234M-5/18/02- C , A - - TS N C Vy V e 0? '! Fiberglass- “J Settled Dust ( t-TA C N c. V r. ZJi> P.S.234M-5/18/02- s to i A \ 3 Sc-M V S Fiberglass- Settled Dust Cc.vCv.Vc \ P.S.234M-5/18/02- XWeOA 4-.AC c Ac. \ c -V 1 Fiberglass- Settled Dust N I? P.S.234M-5/18/02- W\ tv, V_xA V -iVI c \ <5 "T 1 Y \ Fiberglass- 1 O 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: n. Comments (Lab):

24a. Analyzed By: pl i/axXC( ^3 KM 24b. Analyzed By: 24c. QC By;

Filename P \tJSERS\DATA\WP95\WP\FOItMS\NY-!3 XLS Ferm NY-tl

CITY_21MC1OO_OO3O31691

NYC-WTC_000199143