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NYC-WTC_000215141

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000215141–000215142
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NYC 9/11 Public Portal Document

Page / of / ATC ASSOCIATES INC. BATCH NO. ^OOGQ BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Client: NYC - BOE 2. Project Nam AHERA REINSPECTION 3. Project# 14584-084y- 4. Project Manager: ANDREAS ANDREOU

2a. Project Address:'^’^ York, NY \QOC>(^ 4a. lnvestigator;Yiaiinis Efstatliiou

5. Date: 6. Building Name:_.<^^^ 8. Turnaround Time: 9. Comments (Field); Q STAT Q 24 HRS Q 72 HRS □ OTHER Analyzed all them for fiberglass

'^sj^ 7. Sampling Areas: □ 6 HRS 048 HOURS □NORMAL 10. Time in / Time out:

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER M894-2/8/02- Fiberglass-^ Settled Dust M894-2/8/02-

Fibcrglass-^;2- Settled Dust M894-2/8/02- Fiberglass- 2^ Settled Dust 5515:^2 M894-2/8/02- 7 Fiberglass- Settled Dust M894-2/8/02- Fiberglass-’^25^ Settled Dust M894-2/8/02- Fiberglass-^^ Settled Dust M894-2/8/02- Fiberglass- Settled Dust M894-2/8/02- Fiberglass- Settled Dust M894-2/8/02- 5fd plctrr Fiberglass- Settled Dust

. CHAIN OF CUSTODY 17. Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: FIELD WALK IN /7 US MAIL FED-X OTHER

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

24a. Analyzed By:

24b. Analyzed By; 24c. QC By:

Filename: P:\USERS\DATA\WP96\WP\FORMS\NY-13.XLS Form NY.13

CITY_21MC100^002854317

NYC-WTC_000215142

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NYC-WTC_000215142Source: NYC Law Department, mirrored locally

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