NYC 9/11 Public Portal Document
SECTION 4. Information for SAMPLE taken inside the building from COMMON AREA
A. Floor Number (ground floor = 1, basement = B)
B. Type of Common Area
Stairwell Lobby Hallway Other (describe)
C. Are sample locations (with sample number) shown on map? Y N
D. Is dust visible in this area? Y N
E. Has the area where sample was obtained been cleaned since WTC event? Y N
Not Sure
If yes:
Date of last cleaning ________________________
Who conducted cleaning?
____ Building owner
____ Tenant
____ Asbestos remediation contractor
____ Professional cleaning contractor
Private cleaning contractor
Name and Contact Information for Contractor:
F. How was this area cleaned?
____ Wet mopping
____ Dusting
____ Sweeping Broom Vacuum HEPA Vacuum
Carpet cleaner
Curtains Removed Cleaned Cleaned and
In Place Rehung
Furniture Removed Cleaned Cleaned and
In Place Returned
G. How much dust was present in this area prior to cleaning?
Normal Slight Increase Moderate Increase Large Increase
Amount Over Normal Over Normal Over Normal
H. Has there been routine cleaning since the WTC collapse? Y N Not Sure
I. If yes, how is this area routinely cleaned?
____ Wet mopping
____ Dusting
____ Sweeping Broom Vacuum HEPA Vacuum
Carpet cleaner
4. Information for SAMPLES taken inside the building from COMMON AREAS (continued)
J. Were windows near the common area open during WTC collapse? Y N Not
Sure
If yes, how many were open?
K. Were windows near the common area broken during WTC collapse? Y N Not
Sure
If yes, how many were broken?
18
NYC-WTC_000164803
OCR can misread numbers and units. Confirm readings against the page image before using them.