NYC-WTC_000195832

NYC 9/11 Public Portal Document

_____ ^MoiZO (________________________________ po-g>f FIELD DATA COLLECnON/CHAIN-Of-CDSTOPY RECORD: ASBESTOS ANALYSES ONLY ® nCE OF EMERGENCY PREPAREDNESS-USPIIS PBOJEC MgER: : XALYSIS REQUESTED TYPE OF SURFACE* 1; NEW YORK DEPARTMENT OF HEALTH lOCAfttrr tl>IIA»VSU*FACS USPHS MISSION «12- RESIDENTIAL : etrn£A nnifcnfco of J BROADWAY, «TH FLOOR, NEW YORK. NY I00B7 SA»/' -‘MG NEW YORK CITY man cDr-eA»rer.oEErmt

I (113) 676-6123 FAX (MI) 442-9516 iPLINC BLOC/LOCATION Ct-CAlVEr.JMAG

SSSgSSS^SSiSSSi CSr - CMWET.StWilTnLE TKHTUWLMOtUTOny; SgM KSUITS TO; SwrIacB 4us( cnfCAnrET.iwKW »ue A*6ome Aslwsiftt Asbestos Ftben A:(rieM<iw(i>) ATTKi USPHS MISStOxNirn RESIDENTIAL SAMPLIM. PH. (212) 442-6792 <l>WSbyPa< byPtM(MKJS« ■:m 74005 r 1 Matiart(M>lo; CAPT Svea Rodonbeck, MaN Stop E-32,1600 Cliflon Road, Nt. SA3ri333 W«) If <1%. ■ ■ .x.ronBWd U E-MAlLto: [email protected] (Ms. Lynn Wilder. CIH} ,£ . ' ^TEM fOrA'«c< sartipke o e«IOS‘, EAOZJ WTEMlWY X)F»ta: ATTN: CAPT S»en Ro<kt<b«cK at (*84) 48141073 and USPHS Mission »>12 at <2U 1442-9318 ne A) AUDlTfONAL c SAMPLING SAMPLE SAMPLERTYK tSMCatwMe SAMPLE START STOP INFORMATION « SITE Tvre rrc-Sani>BR| Rm* NUMBER TIME TIME REGARDING SAMHX uLtoors Airborne Asbestos TPM LPM [H]A-O- 1) X ILocsHoti: fp kt Ma.'aEr

J onunon Area I Airborne Asbestos Jt iitrro»3 /( X ^Ldcatton: fX amZk

jWC/acatnn Sutfsce Dust ■Oil 'V- X Aru vaewwnedi /

iesidence 1 Airborne Asbestos I?.‘I LPMI I tl, I LPMhRlA-RI- 1(1 I 10? X Floor: 2 Apt. 2J 3 3? ^/gf^^efflEassgaaK V8S [usmanii ^321110 £ I ■luauBQSKinmfQaiaiiuvnnEi^aniflHaH M i IS

HELI ISHED DY: TIME/DATE: RELINQUISHED BY: TIMK/DATE; SAMPLES SHIPPED TO: COMrXXY: EMSL Analytical, Inc - 6 2 ®'r AOOIUSS: 3Q7 West 38th Street fi^OMTMrt&iarai New York. NY 10018 u - nt BEUNQVISHEOBY: TIME/DATC: REhlNQUISHEDBY; TIMEZDATE: ATTO: SA*PLE RECFIMN6 MW«)

I o o o o I U) tLtgoiuTonsMm.t»ectmM9 RELINQUISHED DY: TTMEZDATE: rMMMarMrssycanwMu ampjSaMBEaBg8H|wM WIONC:

Fwe (856) 397-1901 (cell) (656)858-1292 EMSL courier

I o LO O CO «.«uRrn MBBMHSWBlIfl-WlWHlQriamj. te LO LO O

NYC-WTC_000195832