NYC-WTC_000199804

Z X z \U (nJOa) TLOO o X C0 o s LD O FIELD DATA COLI.ECriON/CHAiN-OF-CUSTOUY WECORD ; ASBESTOS ANALYSES ONLY OFFICE OF EMERGENCY PREPAREDNESS-USPHS PROJECT REFERENCE NUMBER: ANALYSIS RKQU ESTEP /7^’f<Ey^z(7>^r^lA.' Y</i/.uL/sr TVPEOVSDBFACK- “0 c '2 o o Ld CO <r C70: NEW YORK DEPARTMENT OF HEALTH 253 BROADWAY, 12TH FLOOR, NEW YORK, NY 10007 USPHS MISSION #12; RESIDENTIAL SAMPLING NEW YORK CITY SAMPLING BLDG/LOCATTOn'*" spccit^BtrffER TJiEAt^rtfOO on Af^4bmi(S) non EACU H = ItAkU SlIRFACS

COT - eWbT. UHKe PILE o' "0 Q_ PH (212) 676-6323 FAX (212) 676 6326 CS = C.AXr&T, SHAO o co (33P ■-= CARfer, SHORT PILE p. co 9L oo o /tTTUNTIOliljSJiOKATORY: SEND HJBSULTS TO: ILo 6\ife€.cntJ<LV\ 0^'1) AJitJOfDE Ai^eslos SutUos dusl CIR - <iXRPET, THROW RVO O tn AsbWloa Fibets o VIA: (TltAMchsck) ATTN: USPHS MISSION #12 RESIDENTIAL SAMPLING PH: (212) 442-6792 fibers by PCAl by FIW (NIOSH o c (NIOSHT400) IF (X IMsUOrltUskja: Mr. Sven Rodenbeck, Mail Stop E-32,1600 Clifton Road, NE, Atlanta, GA 30333 0002) IF<iy,. 3 >0.01Vw, (on«»d (X I E-MAIL to: forv/anj ^arnpls CD LXW2(gcdc.gov (Ms. Lynn Wilder, CIH) »nnpie fof TEM 3 forTEM(NT [ X I Fax to: ATTN: Mr. Sven Rodenbeck al (404) 49841509 and USPHS Mission #12 at (212 676-6326 (NIOSH 74021 ADDITIONAL IM 4)

SAMPLING SAMPLE SA^^’LltR TYPE IS-mm CoiseUc SAMPLE START STOP INFORMATION

r SITE TYPE PrvSsmpljNj Flan F<jiVS>n\pUng Flow NUMBER TIME TIME REGARDING SAMPLE ■ Oiitdoois Aitbotnc Asbestos (O 1565 LPM \3.S^ LPM |R)A (j S-1 69VS;; /Nr 1 X Location: OLxSxOg- e.^ntT (hr i/'ciT) <C Setderl Dust Bulk X Area: O .Wi [RISA'O- Common Area Airborne Asbestos \i.MO lpm fe.is LPM [R])A-C- S" , X MlillC Location: i KlgiaaSS-Miss®_ Tiili® IH IRjw-q Vd^UUih 3uk.IdLri Tku^t X Awa. 4 4# <1

cn X Residence 1 Airborne Asbestos 1^, LPM 15.5-1 LPM [R]A-ItI- ■Im B X lour Apt; bJ Vacuum .Surface Dust S’ X Ajea vacuumed: <9/S'S'/7Nf iSiiiiiiiiii B ."'ll LPM [Ri'A® Residence 2 Airborne Asbestos 13.5*1 LPM Floor. VZ Apt: KT- C. Vainnim Surface Dust X Area vacuumed: 'Z m’

Air Sample Blanks Airborne Asbestos X Airhonie Asbestos 1®1 ill R)BA-D £'Mil® SSifiiS X ___ _________________ OorCiooe, hxlU^RNts- (\SC£^nb5 /■Mb SVnr-^ft-(vspve CD CO 13. Ills' 141^ X ID -- (N o cn C4 I CM RMM DBY; TIM E/D Alli: RELINQUISHED BY: TIME/DATE: C07.1PANY: SAiVIPLE>S SHIPggll TO: <I; Analyti^^t-flnc. (N /7S7 ADDRESS: 307 West 38lh Sir^et N^/ York, NY 1^18 o V (T/UmPAiyfifEU) IM'^IfCArOSJ iSHsHii (LAeORATOHr KSt'iei^) RJELINQTJJSHED BY: TIME/DATE: REIJNQUISHED BY: TIME/DATE: co ATTN. SAMPLE RECEIVIHO (Rnbprt DEMalo) DO XT PHOHE'. (856) 397-1901 (cell) s o Q (LABOJLATORVSAAfPLK RSCRiiThXiJ ~ REUNQUism BY: IBiilillt TIME/DATE: (i^BORA rCfRYSUPEKt^SOR) FAX:

GAKKJKP: _________________ (856)853-1292 EMSL courier O CM DATE.' O TIME: O C4 CO (ANALYST) AJRDlLt #■

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