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Bulk asbestos analysis chain of custody form, July 2002

Machine-extracted title · confidence 90%

Chain of custody form for bulk asbestos samples collected at a DEP facility on July 13, 2002.

NYC-WTC_000094253

Folder label: “15 JOHN STREET 1001217, 79/14

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Scanned page image, NYC-WTC_000094253
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NYC 9/11 Public Portal Document DEPARTMENT OF ENVIRONMENTAL PROTECTION , BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOE. A. aanLiSLP.a. coeamsst WER BULK ANALYSIS CHAIN OF CUSTODY -I Indent No.: VJ c / - T i Date Sampled:

Prendse: s SONS ( &

Bor,: MN Time: ant/

Inspector: C ft l v..~CC E5, 11t Print Signature

Turnaround Time: Immediate [ ' 24 Hours [ J 48 Hour, [ J 1 Week [ J ] P+. _,N. ~I ^I>f~l~fp!11'n4~'U?tli' k-r'nFkw•-.I. _va.-:i.~Yr_~_F:,~.~ (~ y` ~7 a1~/ 4+d^trOmiHl2tp+9 .'!.W •. ~~0 .4I I.. QIf1~1L~d// + :~'W~ '~ 'WfY Lf ~, fp

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ANALYSIS REQUESTED: Asbestos PLM ( Asbestos TEM [ I Lead I I Date j Tine Accepted By Commmeuts 1. am Print

7 /3 o-Z /2.-.;c- sign t✓ , 2. am Print pm Sign

3. am Print pm Sign

4. am Print pm Sign 5. am Print pm Si DEP ACLP RKV3I00

NYC-WTC 000094253

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NYC-WTC_000094253Source: NYC Law Department, mirrored locally

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