NYC-WTC_000201708

NYC 9/11 Public Portal Document

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ATC ASSOCIATES ING. BATCH NO. _ _______ AAtiLeaLl. BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION 1. Client NYC - BOE 2. Project Nam AHERA REINSPECTION 3, Project # I4584-C819 4. Project Manager:Yianr.is Efstathiou

2a. Project Address:20I Wearren street, New York, NY 102S2 4a. Invest]gatortMariana Medinets

5. Date: (1. Building Name:P.S. 89M 8. Turnaround Time: 9. Comments (Field): STAT □ 24 HRS □ 22 HRS Q OTHER Analyzed all of them for fiberglass J'AZ - OA 7. Sampling Areas; 10. Time in / Time out: O 6,HRS 048 HOURS Q NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR 'RESULTS H.A.# NUM.BER DESCRIPTION NUMBER

PS89M-3/22/02-

/ Fiberglass- Settled Dust PS89M-3/22/02-- / At Fiberglass- Settled Dust V PS89M-3/22/02- Fiberglass- PS89M-3/22/02- Settled Dust ZA A Fibcrglass- PS89M-3/22/02- Settled Dust . /A / dM Fiberglass- PS89M-3/22/02- Settled Dust aM /C. 5' Fiberglass- Settled Dust PS8<)M-3/22/a2- . ST) 6 :?7 Fiberglass- Settled Dust aJSi PS89M-3/22/02- A ' Fiberglass- Settled Dust PS89M-3/22/02- A-A A/ 39 Fiberglass- Settled Dust PS89M-3/22/02- A -A3 /l Fiberglass- ------CHAIN OF CUSTODY Settled Dust /t/J 17 Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22, Time: 23-. Method of Submittal; FIELD, ■S (if- iCiut/'cuA 3 -9) WALK IN US MAIL FED-X OTHER

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

24a. Analyzed By: H 6 Lt.A-^i.A..Q .... 7 A 24b. Analysed By: 24c. QC By:

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CITY_21MC100_005389902

NYC-WTC_000201711