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NYC-WTC_000199154

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000199154–000199157
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Scanned page image, NYC-WTC_000199156
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NYC 9/11 Public Portal Document ATC ASSOCIATES INC. Page 4 of tr BATCH NO. 2 QO YG Y 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,NY 10007 4a. Investigatur:Chacko Mathew S. Date: 6. Building Name:P.S.234M 8. Turnaround Time: 9. Comments (Field): Cc) STAT Cj 24 HRS | 72 HRS ] OTHER Analyzed all of them for fiberglass b\¢\ on 7. Sampling Areas: . 10. ‘Time in / Tine out: o~ (Jeurs ([Jasnours ([] Norma SAMPLE ID MATERIAL LOCATION FLOOR RESULTS WAR NUMBER DESCRIPTION NUMBER 2.\ |Fiberglass- 2\ Settled Dust (Races 4 Eas ) co A PS234Mi “O\Slor c\ asS$ too™m WS 22% |Fiberglass- 22 |Settled Dust acing Sed oo MA PS234M) = GAG\o27 23 Fiberglass- ‘2 Settled Dust Class ve * ~) AJA PS234M ‘€}g}o2 2 ° * aM Fiberglass- 2 Settled Dust classy Neem 4 2 AA PS234M ‘G\¢ jou o> + 2S |Fiberglass- 25 Settled Dust Class Wom e224 2. : NA PS234M- : A$ fo? Yoom4 22% 26 Fiberglass- 2.4 Settled Dust class too 2 NA PS234M- 6\¢\02 jyoon 4229 A) call Fiberglass- 2) Settled Dust Class 2. PS234M- &\<¢\lo» Lass taom # 31S A, 2% Fiberglass- 2 | Settled Dust < Ce cany Sourh 3 AJ ~{PS234M- 61¢ [oz 2.4 Fiberglass- 2.4 Settled Dust c\ ats Toome3 bb > A) h PS234M- C1 \o2 ‘ - oo o 3° [Fiberglass- 30 Settled Dust Class Voom * S0¢ 4 AA CHAIN OF CUSTODY 17. Relinguished By: 18. Date:|19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: ~~. \ {FIELD US MAIL FED-X OTHER LAB INFORMATION 24, Name and Signature: 25. Date:|26. Time: 27. Comments (Lab): 24a. Analyzed Ry~.. Wut 6 [tet 10. LOAm 24b. Analyzed By: 24¢. QC Ry: NYC-WTC_000199156 CITY_21MC100_003031755

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NYC-WTC_000199156Source: NYC Law Department, mirrored locally

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