NYC-WTC_000230466

NYC 9/11 Public Portal Document

Page A of ATC ASSOCIATES TNC. BATCH NO. L_______ BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PRO JECT information 1. Clisrt: NYC - BOE 2. I'roject Nam AHERA RErNSPECTlON 3. Projec;# 14584-0819 4, Froject ManagerAiannis Efstathioii

2a. Project AddTess;2C l Wanen Street, New York,NY1C282 4a. Investigator:Yianais Efstattiioi!

5. Date 6. Built mg Name: P.S.89M 8. Turnaround Time: 9. Comments (Field): □ stat. □ □ 72 HRS □ OTHER Analyzed all of them for fiberglass 7. Sampling Areas: I C. Time in / Time out: □ 6 HRS n 48 HOURS □ NORMAL

SAMPLE ID MATERIAL LOCATION FLOOR RESULTS H.A.# NLiM.BER DESCRIPTION ■ NUMBER P.S.89M-5/17/02-

Fiberglass-^ / Settled Dust /Ai P.S.89M-5/17/02- . ^(y/c&£^'(Crcrn/ Fiberglass-^_^,^ Settled Dust ______ ____ A/cor) P.S.89M-5/17/02- Fiberglass-^^J^ F.S.89M-5/17/02- Settled Dust bJ Aid Fiberglass-^z^ Settled Dust P.S.89M-5/17/02- Fiherglass-^^ P.S.89M-5/17/02- Settled Dust xF) Fiberglass-^g Settled Dust P.S.S9M-5/17/02- /)J2- Fiherglass-^jg^ P.S.89M-5/17/02- Settled Dust □Al P” > Fiberglass- Settled Dust “ P.S.89M-5/17/02- Fiberglass- Settled Dust P.S.89M-5/17/02- Fiberglass- jP Settled Dust CHAIN OF CUSTODY dY 7 17. Relinquished By; 18. Date: 19. Tirr.e; 20. Received By: :21. Date: 22. Time: 23. Method of Submittal: FIELD - A• A- /j/i/f WALK IN

r US Mail FED-X OTHER

LAB INFORMATION 24. Kame and Signature: 25. Date; 26. Time: 27 Cominents (Lab): 24a. Analyzed By: , /J- /(^ A/ 24b. Analyzed By: 24c. QC By:

Kii»r.n.nn». DA! I Cl PD C UT A T A \ ivoo A\W P\ FC 1R M >4! WV . U Yl .V FoiTTi NY-13

CONFIDENTIAL, CITY_21MC100_011771135 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000230469