NYC-WTC_000230466

NYC 9/11 Public Portal Document _ATC ASSOCIATES INC. BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM if Page xf BATCH NO, SAE PROJECT INFORMATION ; ; 1. Client: NYC - BOE 2.,Project Nam AHERA REINSPECTION - - 3. Project # 14584-0819 {4, Project Manager: Yiannis Efstathiou 2a. Project Addregs:20] Warrer, Street, New York,NY10282 4a, Invesugator: Yiamis Efstathiou 5. Date: § Building Name: T.S'89M 6. Turnaround Time: . v, Comments ida: ; [-] stat [.] 72HRS -[_] OTHER Analyzed all of them for fiberglass 5] _ { 4 7. Sampling Areas: . i 10, Time in / Time out: Yikiiar [Jeurs [lasHours [[] NORMAL - Lt - oe, SAMPLE ID MATERIAL LOCATION | FLOOR RESULTS ILA# NUMBER DESCRIPTION NUMBER ; P.S.89M-5/17/02- G Heed OCU a A Od) |Fiberglass- Settled Dust tA pene | fA /, fee oyT P.S.89M-5/1 7/02- ‘a ca sien - Die Fiberglass- 2X Settled Dust ai ws) ; SUA P.S.89M-5/17/02- a CP BRIEF A. Wo | Fiberglass- 2 2 Settled Dust (4 bec \ ALA P.S.89M-5/17/02- a Tama pe A PIE Ca wi ay! . . a | - Fiberglass- ef. Settled Dust f f _ AJA P.S.89M-5/17/02- a ; C fos ca poom HH. ra WJ J | Fiberglass- 4 Settled Dust - va. Chen \ A! PSSOM-S/IT02- | TTaur oor HA SOP SS Fiberglass- 3" ~ Settled Dust : /4 i } . AIM P.S.89M-S/17/02- (fer iCcor FS 26, ee Fiberglass-3.7- Settled Dust : (tor) AS P.S.89M-5/17/02- |. (Crs sc Cone FS, 10 oe yi ; Fiberglass- 37 Settled Dust ie AA P.S.89M-5/17/02- sae sroome HS 0 de La + Fiberglass--39- Settled Dust (L lee or } : fu J P.S.89M-5/17/02- |. . fase root ZS OF es 4 AND . \Kiberglass- ly ; Settled Dust : 4] a . CHAIN OF CUSTODY a J 17, Relinquished By: 18. Date:!19. Time: 20. Received By: 21. Date: 22. Time: 23. Method of . Submittal: v2 I} - . FIELD |. Tete ELA Ey A opt: la - ff - Lier fe ro, fs ou . fs 3 O ia WALK IN / a Vj war ‘ US MAIL | ‘a FED-X | |OTHER LAB INFORMATION 24, Name and Signature: 25. Date:!26. Time: 27. Comments (Lab): 24a. Analyzed By: £. 4. ia Bir FE 12? § tz MI. al 24b, Analyzed By: 24c. QC By: Filename: P:\USERS\DATAWP96'WP\PORMSWNY 13. XLS Form NY-12 CONF LDENTIAL, CITY_21MC100_011771136 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008 NYC-WTC_000230470