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NYC-WTC_000230511

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NYC 9/11 Public Portal Document -ATC ASSOCIATES INC. Page of BATCHNO. 21142 BULK SAMPLE DATA AND CHAIN OF CUSTODY FORM PROJECT INFORMATION T. Client: NYC - DOE 2.Project Name: M894 13. Project:14584-0864 4. Project Manager: Yiannis Efstathiou 2a. Project Address:90 Trinity Place,NY,NY 10006 4a. Investigator: Herant Antonyan :Date: 6. Building Name: M894 12/26/02 7. Sampling Areas: 8. Turnarcund Time: STAT 72 HRS LI OTHER 9. Comments (Field): Analyzed all of them for fiberglass TO. Time in / Time out: 6 HRS H.A.# SAMPLE ID NUMBER M894-12/26/02- MATERIAL DESCRIPTION Fiberglass- 0/ Settled Dust M894-12/26/02- 02 Fiberglass- 0 2 Settled Dust M894-12/26/02- 03 Fiberglass- 0 3 Settled Dust 48 HOURS NORMAL LOCATION Tot floor Tollly (fhor) Cafeteria stt fhor ha Mud hor. (Flo0r/ (Floor) M894-12/26/02- 04 Fiberglass- O4 Settled Dust M894-12/26/02- gth floor hallway Classroom #809 (Floor) 05 Fiberglass- 0 5 Settled Dust M894-12/26/02- 06 Fiberglass- 06 Settled Dust M894-12/26/02- 07 Fiberglass- 07 Settled Dust M894-12/26/02- (Floor) 7th floor Hallway (Floor/ th foor Haltway (Fbor) Classroom #403 08 Fiberglass- 0 8 Settled Dust M894-12/26/02- 3rdl floor 09 Fiberglass- 09 Settled Dust (Floor) На Г/wац (F6or) 1 894-12/26/82 Auditorium 10 -Fiberglass-io Settled Dust (Floor) CHAIN OF CUSTODY Please call Project Manager 646-772-1155 i7.Relinquished By: [18. Date: 19. Time: 20. Received By: 22. Time: Aedoy 12/20/02 YRaye 12/26/2 2Pm 23. Method of Submittal: FIELD WALK IN US.MAIL FED-X OTHER FLOOR NUMBER RESULTS NA NÀ NA NÀ ND NA ND NA NA LAB INFORMATION 24. Name and Signatyre: / 124a. Analyzed By: 24b. Analyzed By: TegRepachss 2fc. QC By: 25. Date: 26. Time: 12/2612 27. Comments (Lab): 10 Pru <6 Filename: PIUSERSIDATA:WPOGWPIFORMSINY-13.XLS Forma NY-13 CITY_21MC100_011771327 CONFIDENTIAL, SUBJECI IO PROTECTIVE ORDER NO. 2, SEPT. 2008 NYC-WTC_000230511

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NYC-WTC_000230511Source: NYC Law Department, mirrored locally

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