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Chain of Custody Form Instructions for WTC Building Sampling

Machine-extracted title · confidence 100%

Instructions and sections for collecting sample location data from a specific building interior.

NYC-WTC_000149537–000149682

Folder label: “ATSDR/DHAC_ASTM

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NYC 9/11 Public Portal Document

W. Do any residents or frequent visitors smoke in this unit? Y N Not Sure X. Residential Activities During Sampling Previous 24 hours Smoke? Y N Y N Use Stove? Y N Y N Use Oven? Y N Y N If use either, were these Gas Electric Gas Electric Was the exhaust fan on? Y N Y N Use the dishwasher? Y N Y N Have a Fire in the Fireplace/Wood Stove? Y N Y N Clean? Y N Y N Vacuum? Y N Y N Bum Candles or Incense, etc.? Y N Y N Open Windows? Y N Y N Children playing near the equipment? Y N

Y. Window position change from thestart of sampling? Opened Closed No Change

Z. How much activity occurred in the sampled room? None Occasional Freque nt walk by equipment movement

27

NYC-WTC_000149553

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NYC-WTC_000149553Source: NYC Law Department, mirrored locally

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NYC-WTC_000149798

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