NYC 9/11 Public Portal Document
[v4cresidentialplanoct18.wpd fins
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IX. Information Needs for Samples/Sample Locations:
In order to interpret results, the following information should accompany each area sampled:
A. Sample Collection Assessment Form
1. Description of reason for selection of site for sampling (e.g., apartment had windows open or
broken during the WTC event; visible dust present in ambient air adjacent to apartment building)
Occupied residence
Unoccupied residence
Common area
Justification for sample location (describe):
I
2. Physical address
3. Apartment/floor number
4. Contact Phone #
5. Side of building (N, S, E, W)
6. Was HVAC system in operation during entire sampling event?
_Yes __ No
If NO, how was system running (hrs.):
7. For surface dust sampling, measurement of area sampled (square meters or square feet)
I
8. Sketch of area showing air and surface dust sample locations
12
CITY_21MC100_013489435
NYC-WTC_000178101
OCR can misread numbers and units. Confirm readings against the page image before using them.