NYC-WTC_000199143

NYC 9/11 Public Portal Document

Page of It ATC ASSOCIATES INC. BATCH NO. ^7

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC - BOE 2. Project Nam AHER.A REINSPECTION 3: Projects 145S4-0823 4. Project Manager: Yiannis Efstathiou

2a, Project Address:292 Greenwich street. New York,NYl 0007 4a. Investigator:Chacko Mathew

5. Date. 6. Building Name: P.S.234M S. Turnaround Time: STConinientsTFieiilji □ 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.AA NUMBER DESCRIPTION NUMBER P.S.234M-5/18/02- t y i~i \ f / £-nV‘- ' I Fiberglass- 1 \ Settled Dust P.S.234M-5/18/02- 1 lY Fiberglass- 1'1— Settled Dust P.S.234M-5/18/02- Fiberglass- 13, Settled Dust V) 1 Vi ■. Vx 6- U L I P.S.234M-5/18/02- <i-> YNtx i v e Qt M Mat IN Fiberglass- 14 Settled Dust s X ■- ''v I- e P.S.234M-5/18/02- IS Fiberglass- ' 5 Settled Dust L\ t .v\ e Y i-vo IC i . 1 P.S.234M-5/18/02^ It Fiberglass- SX Settled Dust G. \ h S S I P.S.234M-5/18/02-

n Fiberglass- ST Settled Dust P.S.234M-5/18/02- (2.\tTl>S '-TO \ I "is l '5 Fiberglass- “S Settled Dust P.S.234M-5/18/02- 15 Fiberglass- 1 5 Settled Dust C \ c- <; 5 -s o a -S<^ -Al ML

P.S.234M-5/18/02- T-- NtxJ J Vc N' t O-fX, Yvy 72-C (a J Fiberglass- Settled Dust / CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD ^(>61'1 WALK IN Ai US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature: 25. Date: 26. Time: 27. Comments (Lab): 24a. Analyzed Bv: 'Av l/CVC' V'N, r//T/Gi- I ' yo Pl\<\ 24b. Analyzed By. 24c. QC By:

Filename P 'USERS.DATA1WPO6'.WP'.FORMS’.NY-I3 XLS FomiNY-13

CITY_21MC100_003031692

NYC-WTC_000199144