HP Environmental request form and cover sheet, Oct 2001

NYC 9/11 Public Portal Document

Report if Bulk Asbestos. Worksheet Analyst Name Date Received Dale Examined Client Name •1

i Client Sample Number [)l Polarized Bright Light Crossed. Polais Disp. Staining Mount/ " oil Morpho- Refri-c''.-. Sigivof Finding logy 7- lex BMf. Elongc'.ipn ~ Colors y Lab Sample Number 01.550 ■paiahel ’ /S Ww □ Straight □ none □ ...blue... □ T1 1.605, •.nwavy □negative 1 □fellow.. □ " DhUh

w G W G Job Site;

Sample Location: - •4 □ □ 1.680

/ •/□Bundles □ Singular ’ T’etpcnrllcular” □ Ribbon □ □ none

ext. angle positive □^jnfgneta.D ...gold... □ □ □ □ □ M 0'1.550 □^Straight r&rtiui □ low ■ pitone □ .p>lue... □Zx' O /□ 1.605 □ med. -Q neg ativ e □Zyellow.. ' H □ Bundles □/igh . □ positive /□ .magnets. Q H O 3 □ 1.680 □ □ singular "ber^ttdJculIr'”* ^none ■ □ Ribbon ' ■□ ...gold... □ □ ffl Sample Color: Cross □ - X . ext, angle__________ □ 71 Dcicriplton yes no O PariUeT G Gross Description;, 0.550 □.Straight □ itxw Cnone □Z.bliie.;^ □ S O homogeneous □ 1.605 □ Wavy □hied, □negative a ..yellow.. □ friable □ Bundles □ high □positive □ .magnets. □ § Obrous, _ □ 1.680 □/Singular fc7pen3icujar “ □ none / □ ...gold... □ cemcnliliouj . □ 0 Ribbon □ □ O 3171 ■ i:. ext. angle ’ □ □ 1.550 □ Straight Parallel □ low • □ none □ ...blue... □ a Total Asbestos Present □ 1.605 □ Wavy □ med. □negative □ ..yellow.. □ □ Bundles □ high □positive □ .magnets. □ a ' ; 1 chrysotile % □ 1.680 □ Singular ferpcndicuTar □ none □ ...gold... □ o □ . □ Ribbon □ □ 2 amosite % □ ext. angle □ □ 3 crocidolite % □ l.SSO □ Straight PanUcl □ low □ none □ ...blue... □ w □ Wavy □ med. □ negative □ ..yellow.. □ □ 1.605 □ positive □ .magnets, □ M 4 % □ Bundles □ high □ ...gold... □ □ 1.680 □ Singular fcq^nSicuiu^ □ none H □ □ Ribbon □ □ Total Non-Asbcsios Fibrous Miaterial Present % □ ext., angle □ □ Nralltl o co O 5 cellulose 6 fibrous glass 3Z5-; L % % □ 1.550 □ 1.605 □ Straight □ Wavy □ Bundles □ low □ med. □ high □ none □ negative □ positive g H □ 1.680 □ Singular 1’crpcndIculM~ □ none 1 k: 7 other fibers %. □ □ Ribbon □ □ t\j □ cxr, angle □ □ so o cn 8 ■ % □ 1.550 □ Straight Parallel □ tow □ none □ ...blue... □ Q □ Wavy □ med. □ negative □ ..yellow., □ o Q □ 1.605 □ .magnets. □ o ra Toiai Non-Asbesios Non-Fibrous Material 2 % □ Bundles □ high □ positive 1 □ 1.680 □ Singular ‘ ’Perpendicular"’' □ none □ ...gold... □ u» □ □ o CD o -J 9 unspecified binding materials % □ □ Ribbon □ cm. angle □------- □ tCa Refer to W.M./VA 50'^ " •" co o I co

NYC-WTC_OOO1 74976