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NYC-WTC_000219438

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000219438–000219441
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NYC 9/11 Public Portal Document

Page of z 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: ANDREAS ANDREOU

2a. Project Address;201 Warren street. New York, NY 10282 4a. Investigator:Yiannis Efstatliiou

37Date: 6. Building Name:PS 89M 8. Turnaround Time: 9. Comments (Field): □ STAT □ 24 HRS □ 72 HRS Q OTHER Analyzed all them for fiberglass 7. Sampling Areas: 10. Time in / Time out: All4ftA □ 6 HRS Q 48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NUMBER DESCRIPTION NUMBER PS89M-2/14/G2- Fiberglass-^/ Settled Dust _____________ PSS9M-2/14/02- Fiberglass-^^ Settled Dust PS89M-2/14/02- Fiberglass-^j^ Settled Dust PS89M-2/14/02- Fiberglass- Settled Dust PS89M-2/14/02- Fiberglass-^^ Settled Dust 4°/l> ^67. PS89M-2/14/G2- Fiberglass- Settled Dust A/i) PS89M-2/14/02- Fiberglass- ^22. Settled Dust vr> PS89M-2/14/C2- Fiberglass- Settled Dust J PS89M-2/14/02- Flberglass-^^ Settled Dust V f> PS89M-2/14/02- Fiberglass- ==S===S=:SSS3SSSSSS=S=3=B=^S Settled Dust S3SSSSS

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

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

24a. Analyzed By; 24b. Analyzed By: j o fC 24c. QC By:

FilHuuiK P:lUSEItSWATAiWP96\WPiFORMSlNY-13.XLS Fam NY-13

CITY_21MC100_002880516

NYC-WTC_000219438

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NYC-WTC_000219438Source: NYC Law Department, mirrored locally

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