NYC-WTC_000204546

0SS70Z000 OLM-OAN TPSZLOEON OOTONT? ALIO ATC ASSOCIATES INC. DUST WIPE SAMPLING - CHAIN OF CUSTODY MH EAST 2STIESTREET, 10TH FLOOR NEW VORK, NEW YORI PN010 Client Name: New York Cily Board of Education Project Address Stuyvesant HS (M477)/345 Chambers su,NY,NY 10007 Project Manager: XY Ff sLathiow Investigator: Herant Antonyan Saniple ID# PAGE 7 OF 44 TOTAL #CF SAMPLES /9_ ; PHONE: 212-353-8280 FAN: 212-353-8306 Project Number: — 19125-0246 Date: 54 Jog. a A Turnaround Time: Rush Analysis Building Tyne: = School Required: beadin dust _ Dimension of sample| Detection ; Surface Condition . . , Result (j1q/f) area (in. x in.) Limit Room, Component, Location MM AF - Asoo. Sth A feor Cafe feria Visible Dust Visible Debris zG () / | No Visible Dust JAx/Q g f} a -feor —_ | or Debris SYA Jteor Ca fleteria __ Visible Dust _ Visthle Debris a ra No Visible Dust 4 8x6 4. y Bra floor Aux © wn | Misible Dust . le Visible Debris 3 | 7 _No Visible Dust 12 X [ed y p - foor or Debris Bred f- oor Aux Gyn __ Visible Dust ie — Visible Debris /8 ( Y/Y No Visible Dust 3E6xL \ 7 lin olouw S WA [ or Debris Ls Pa fier loo) ATLL — Visible Dust a 5b pe Visible Debris /2. x M2 J l) F feor / No Visible Dus! or Debris zy 0 J COMMENTS: Please call the project manager with results @ 1(G46) 772-L158" ) Sf _ (ADDITIONAL COMMENTS ON BACK) REL INOUUSTRD BY (SIGNATURE BELOW): A hed DATEITIME RECIEVED BY (SIGNATURE BELOW): See fl, 05/77 PRINT NAME: PRINT NARIE: bpm DATE/TINE LABORATORY: NLLAPH MLAPA juslNdO0Gg |BYOd JIIqnd LL/6 DAN