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
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ANALYSIS CHAIN OF CUSTODY
Incident No.: \4 C 0 e Date Sampled: I 20
Premise: s ' o - Si Boro:
Time: U ~aityptn
Inspector: C ' ..k t C yk%0wAG'D 1 Signature
Print
Immediate I 24 Hours I I 48 Hours [ I 1 Week I I
Turnaround Time: L
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ANALYSIS REQUESTED:
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NYC-WTC 000094254
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