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NYC-WTC_000229929

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NYC 9/11 Public Portal Document

Page of ATC ASSOCIATES INC. BATCH NO.

BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION I. Cl ent; NYC - BOE 2. Pro.ectNam AHERA REINSPECTION 3. Project# 14584-0824 i. Project ManagerYiannis Efstathiou

2a. Project Address:334 Greenwich street. New York, NY' 10013 4a. Investigator; L/I 1> 4 5. Date: 6. Building Narne;P.S.150M 8. Tui-naround rime: 9. Comments (Field);

7, Sampling Areas: Q STAT □ 24 HRS □ 72 HRS M OTHER Analyzed all them for tiherglass 10. Time in / Time out: 3’ /f-02. □ 6 HRS □ 48 HOURS □normal SAMPLE ID MATERIAI, LOCATION FLOOR RESULTS

H.A.# NUMBER DESCRIPTION NUMBER

'P!S150M-3/902 Fiberglass-Q j Settled Dust P.S150M-3/902

Fiberglass- Settled Dust P!hl50M-3/902

Fiberglass-^7 Settled Dust PS150M-3/902 S-Qi, Fiberglass-^/y Settled Dust

CHAIN OF CUSTODY 17, Relinquished By: 18. Date: 19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of Submittal: 7 FIELD 7 7 S’ff'C'Z a/11(6 2 WALK IN F US MAIL FED-X OTHER

LAB INFORMATION 24. Name and Sianatuie: 25. Dale: 26. Time: 27. Comments (Lab):

24a. Analyzed Bv: YviJt--, L! -zh/o', , I 6 24b. .Analyzed Bv; T” 24c. QC By

Fiknaiw P ’USERS'YOATA.WKe>\WPTORMS\NY-13.XLS Fonn NY-13

CONFIDENTIAL, CITY_21MC100_011528514 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000229929

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NYC-WTC_000229929Source: NYC Law Department, mirrored locally

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