NYC-WTC_000205122

NYC 9/11 Public Portal Document

01/30/02 WED 13:37 FAI 518 485 1150 NYSDOL-PESH 1^005

01/22/02 TUE 09:23 FAI 318 483 1150 .3- .NYSDOL-PESH @002

New York State Department of Labor Public Employee Safety and Health Bureau

Vehicle Contamination Sampling

SAMPLE#

Vehicle Location or ID;

Vehicle T^'pe:

Asbestos Before vents tamed on After vents turned on Sample Location ___ ^Dashboard ^Dashboard of wipe: ___ Front seat Front seat Floor Floor Back, seat Back scat Other; Other:

Metal: Sample Location Dashboard __ ^Dashboard of Mpc: Front seat Front seat Floor Back, seat 7-Backseai Other: Zother: ''

Other; Sample Location ^Dashboard Dashboard of wipe: Front seat Front scat ___ Floor Floor Back seat Back seat Other: Other;

Sample Date:

Sampled By:

CITY_21MC100_010222363

NYC-WTC_000205122