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NYC-WTC_000199147

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199147–000199150
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NYC 9/11 Public Portal Document

Page of 4 ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Client; NYC - BOE 2. Project Nam AHERA REINSPECTION '3. Project# 14584-0823 4. Project ManagerYiannis Efstathiou

2a. Project Address:292 Greenwich street, New York,NY10007 4a. Investigator:Chacko Mathew

5. Date: 6. Building Name: P.S.234M sTTurnarounci 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/Jt;/02- Wlsto Un< e V Fiberglass- U Settled Dust P.S.234M-57a|^/02- r \ OO V Via. H vjce M ’'K Fiberglass- Settled Dust * VAAcS.e, P.S.234M-5/3^/02- /3> Fiberglass- 13 Settled Dust \ ■ P.S.234M-5/Ai/02- Lam 'rr> * a, i t sivn Fiberglass- Settled Dust P.S.234M-5/Jis:/02- V.'rr) Ce-v\\eY Fiberglass- 1 5 Settled Dust I P.S.234M-5/;(^/02- tn V'le.nt Fiberglass- It Settled Dust 1 P.S.234M-5/4S/02- <7 Fiberglass- 17 Settled Dust I P.S.234M-5Z3i/02- Fiberglass- 1 % Settled Dust 1 P.S.234M-5/X/02- Fiberglass- 14^ Settled Dust bt Ce t'-l C, -t e-c.

P.S.234M-5/4jr/02- f C\e,AS 'Too-’n 0-00- 2.’ 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 WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature; ,, 25. D;ite: 26. Time: 27. Comments (Lab): 24a. Analyzed By: nriVo / s £02 24b. Analyzed By: (J

24c. QC By:

Filename: P:lUSERS\DATA\WP961WPtFORMS\NY.13..XLS Form NY-13

CITY_21MC100_003031712

NYC-WTC_000199148

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NYC-WTC_000199148Source: NYC Law Department, mirrored locally

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