NYC-WTC_000220423

NYC 9/11 Public Portal Document

(5 TURN AROUND TIME: a SRUSH □ 6HRS □ 24 HRS □ other K

EHTfflK ASBESTOS HELD SURVEY DATA SHEET / BULK / WIPE SAMPLE LOG PAGE. OF. CS cs

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PROJECT SITE. SCOPE OF WORK: K FC SATOR: MICHAEL PORTER *81632 inspectort/ IS) OF iNSPECnOW: / 1 hJ CO OS ASgeSTO? I fi ■SPACE SAMPLE# homogeneous SI]lEEin[Y ASSESSMENT EaiSSi <s <s OR UI co FLQOS ARgAfiESp331141512] ASSUMED HTD MATERIAL DESCRIPTION (LF/SF) COND fRIAB % mA F PLM: /> 1± s^e-T GMDP 1,1,3.4, F NF TEM: PLM; /> -4 5.S, 7 GHOP NF TEM: 1.2,3,A F PLM. Sk«.7 QMDP NF TEM;

I I 1,2.3.4. 5,6,7 GMDP F NF PLM; TEM; 8 r 1,^3.4, 5,6,7 F PLM; GMPP NF TEM. 1.2.3.A 5.6,7 F PLM; GMDP NF TEM: 1.2.3,4, F PLM; 5,8.7 GMPP NF TEM: 1,2.3.4. 5,6.7 F PLM: GMPP NF TEM;

o 14 ZOOT 1,2.3.4, 5,6,7 F PLM: GMPP NF TEM: H MYS DOL INSPECTOR; PHYnCALOMOinoN ASSESSMENT FRIABLE PtM • POURCEO LIGHT MICROSCOPY TEM- CERTIFICATE NO.:._______________________________ to TELEPHONE NO.: (212) SM«IM I ainM<«a|Wu«6rgm«NM6b l« RELINQUISHED BY:. >Oan«<dF,IMiSiaM«Aail YmO) .DATE'.. .TIME:. AOfIRESS: EmMqut CaponNoR S _________ «)8Bill<IHAwnw.Sall«!W0.NY.NY10016___________ o No(N) RECEIVED BY:. I 1. A vtnni iJ«t«nrtn»eon of RcogMiblR uupad iraKrtalt tod camSHon, 4D«rM« Mk ACM .DATE:. .TIME:. 3. Calleel bulk eanplu d (Mpect buMig oialitM*. AKWXkixIwlUtalMaB* o tACMIlIlkiMtiMlaNAtHMBMH 3. A pAyefeel *Hnd PraeeuW MMfor dMermlnlng MaMMy end cemHon. o 7 HmM* MW* wanRdMMM REUNOmSHEOBY:. .DATE; .TIME:. A. AeeeaeimiX of tiaped OtaUa end novMeMe neXrWa and lOMdoRa Io 0-Goafl UD-MMrDaMgt/P Poor S, QuwiHfy de anwoN oLsuatiart rateMkln tvlr nepecSwhKagam. o RECEIVED BY;. .DATE:. .TIME: 6 SuiinrtlbUkiampfeefwaedyalibyPLMendlorTaiMeUiod, o (T to 7. Bulk Sanvle ieoiliana and auopaa mtaiMt mm tdadHad on die co BEUUlfiIE&- ifipropdata buiWlng laor ptao diagram vnr tie aarnpla rwnbn (S co ANALYZE: ALL □ STOP AT FIRST POSITIVE 8. A Chain d Custody laeort aetanparded tie aanpiea Io Me taboiakify. on co 9, Do. not prep for.TEM analysis unless the sample Ui. PLM □TEM co wW be analysed TEM. co

NYC-WTC_000220423