NYC-WTC_000208109

NYC 9/11 Public Portal Document

NEW YORK CITY BOARD OF EDUCATION GENERAL FIELD VERIFICATION FORM

OF IMF COtJSIJLiINCj FIRM ATC Associates !nc. SPECIFICATION NO

SCHOOL ADDRESS

IYe£.QF_a£RVJC£S.EfiQVlQ£I2Ucb£sJLJJUWiii£^ n ASBESTOS TECHNICIAN O PROJECT DESIGNER* Dmisc. consulting services L J AIR SAMPLING TECHNICIAN Q PROJECT MONITOR

I.OCATlONStS) PV-cOC ' WORK PERFORMED;

DATE L ,, V TIME A Mg Q F VV ■s^fe/pRQFESSIQ.NACW^>^V^.2V ^^^^bg^AUTHORlZEbPERSONNEL 1 rV.ob.sn tW-'-T-''- b^^^pVSlv^LCUSTODIAN/PRINCIPAL Va 'b name (print) aLtL a LY’ sirsi g n a t u re f CLy jaY;;- name (print) OP - ^nature^^

Ail I -J——'-^'v ' /v.shx) At/A Nrhp^^ATVolLb^ I Ah LQz.:. qo Av-

o H ( U Avv / AFu (O<3 -J h I—i NOTE; Please complete ttie follow/ing as applicable, indicate "N/A" if not applicable. s o o Asbestos Inspector's no. of scliool visits o Io Air Sampling Technician's no. of school visits o co o •Minimum payment for Projec! Designer's services si'all be tour i-D times the unit price per bour LD Project Monitor's total no of nours cn

NYC-WTC_000208109