NYCDOH/ATSDR residential asbestos sampling results, April 2002

NYC 9/11 Public Portal Document

SECTION 5. Information for samples taken from RESIDENTIAL UNIT 1.

A. Point of Contact for Residential Unit 1 Name___________________________ Address__________________________ Phone Number

The following questions describe the characteristics of the area the listed samples were taken from.

B. Location of Floor Above Ground Level Number (ground floor = 1, basement = B)

C. Type of Residential Area Sampled _____ Living Room Bedroom _____ Dining Room Den/Office _____ Kitchen Bathroom Hallway Other (please describe)

D. Are sample locations (with sample number) shown on map? Y N

E. Is dust visible in this area? Y N

F. Has area where sample was obtained been cleaned since WTC event? Y N Not Sure If yes: Date of last cleaning Not Sure Who conducted cleaning? ____ Building owner ____ Tenant ____ Asbestos remediation contractor ____ Professional cleaning contractor Private cleaning contractor Name and Contact Information for Contractor:

G. How was this area cleaned? ____ Wet mopping ____ Dusting ____ Sweeping Broom Vacuum HEPA Vacuum Carpet cleaner

Curtains Removed Cleaned Cleaned and In Place Replaced

Furniture Removed Cleaned Cleaned and In Place Replaced

SECTION 5. Information for samples taken from RESIDENTIAL UNIT 1 (continued)

H. 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

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