250 BROADWAY; Block: 124 Lot: 24 BIN: 1001408 245 Broadway, 2-4 Murray St. 1-7 Park Pl, 239- 247 Broadway

NYC 9/11 Public Portal Document

If ~f 103 NEW YORK CITY HOUSING AUTHORITY I1/09 LEAD DETECTION AND ABATEMENT UNIT DUST WIPE SAMPLE CHAIN OF CUSTODY

Date i r l j G I ;__(_,.Inspector's Name „•, „_ ~/1lPIT~ Contract #..... .........p 1 '

Development.„C ! LA1...... L~ _..... --....... Release #....... er ....................... Address ..._.21v......... ~J 1/ _L ..................................... Fax to (718) 707-5255; Attn: Raphael Fl VJ¢~IG~S ~GCi~~_••--•-•••---........--•..... Apar t ment/FacilitY a Yp e...........................•••••-•----••_.... Report/Bills must be submitted to: NYCHA-Technical Services-LDAU EDP # ~~y ..... SH # —'',,,,,,. Clearance Category: ••... j.......... 23-02 49`h Avenue, 5`h floor LDAU Ticket #/Note: . Long Island City, NY 11101 .................... Clearance Cate ories: 1. Interior Treatment without Containment 3. Exterior Work On Painted Surfaces 5. Soil Work 2. Interior Treatment with Containment 4. Routine Maintenance 6. 504 Apartment

SAMPLE LAB AREA SAMPLE ID DIMENSIONS RESULT (Month-Date-Initials-No.) ROOM EQUIVALENT SURFACE TYPE (f 2 (µg/f2) (in inches) ) FL WS WW ST SL -- / -of FL t 2 -- L4k TR Other •~ / 'L/ G t•L wa ww ai aL O -- --5f(-- 2Z' FL 1Z _ . w - t Zvo 0 other ROM. rod 2 X / Z \VS WW ST Other P f z x /z / -- -- -- a y FL t Z S w- t Z diI FL WS WW ST SL Other. DES(1 ToP FL WS WW ST SL l2 x/7- j -- -- i -- oc FL /1` NW - t I O( other p ff rel /2 X i2 ' ► pG FL tt - S UV -- 11 S FL WS SL D~Sft WS WW ST SL (2 x t Z / T / Z X I -- -- ; -- ofL (0 -' E, <l°/1P-41 — PIh/ FL WS WW ST SL -- -- -- 0 FL W ! rq%rti tom other ae / 2 X /1 FL WS WW ST SL -- -- -- y FL - NE 6O other eAhle w , Z. x i z I FL WS WW ST SL -- -- i n FL 3^ N w- 3/13 other p 5f PIP /LX / z I

STAIR LAND ABBREVIATIONS: FL = FLOOR; WS = INDOW SILL; WW =WINDOW WELLL, ST = STAIR TREAD; SL = ................O/.... Time: 1&t.QOS... Sampled BY:.....J. ..... .yl.~!~..L~ ~'" .-'• ~..~........................ Date: .. Time: .............. Relinquished By:7 ... ......................... Date: ............................. ..... & Received By: R• ,/v ....................................... 9 ......................................... Date: ......... / r~1 / /.... Time: .............. Time .............. ...................................Time: Analyzed By: ................................................................................ Date: ......... .......... ........... ... _ _ c __.___t ...... r c nnc

NYC-WTC 000106002