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NYC-WTC_000201708

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000201708–000201711
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NYC 9/11 Public Portal Document

of

ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client: NYC -BOE 2, Project Nam AHERA REINSPECTION 3. Project# 14584-0819 4. Project Manager:Yiannis Efstathiou

2a. Project Address;201 Wearreii street, New York, NY 10282 4a. InvestigarorrMariana Medinets

Date; 6. Building Natnc;P.S. 89M 8. Turnaround Time: 9. Comments (Field): 0 STAT □ 24 HRS □ 72 HRS □ •OTHER .Analyzed all of them for fiberglass ?. Sampling Areas: iO, Time in / Time out: EZI 6 HRS Q 48 HOURS Q NORMAL

SAMPLE ID MATERIAL LOCATION. FLOOR RESULTS

H.A.# NUMBER DESCRIPTION NUMBER

PS89M-3/22/02-

4-Z Fiberglass- Settled Dust A//) PS89M-3/22/G2- Fiberglass- PS89M-3/22/02- Settled Dust A4 Fiberglass- Settled Dust aJ/ PS89M-3/22/02- Fiberglass- Settled Dust / PS89M-3/22/02- ZY Fiberglass-

PS89M-3/22/02- Settled Dust aZ4 Fiberglass- PS89M-3/22/02- Settled Dust /Lz5 Fiberglass- Settled Dust V PS89M-3/22/02- Fibergiass- Settled Dust PS89M-3/22/02- Fiberglass- PS89M-3/22/02- Settled Dust Ad) 3 CP Fiberglass- CHAIN OF CUSTODY Settled Dust aM 1". Relinquished By: 18. Date: 19. Time; 20. Received By: 21.- Date: 22. Time: 23. Method of Submittal: FIELD W- lUleb'io/ y Ml, WALK IN US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Signature; 25. Date: 26. Time: 27. Comments (Lab):

24a, Analyzed By: Df, LLcKXAAc,: uw 24b. Analyzed By;--— - 24c. QC By:

Filename: P\LSERS\DATA\WP96\WP\FORMS\NY-13.XLS Fotm Ny-13

CITY_21MC100_005389901

NYC-WTC_000201710

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NYC-WTC_000201710Source: NYC Law Department, mirrored locally

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NYC-WTC_000178587

Chain of custody form and data sheet for bulk asbestos samples collected at P.S. 89M on Warren Street during AHERA reinspection.

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