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15 JOHN STREET 1001217, 79/14

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000094254
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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 1yf C ansa.A.t nL%sa,PL cosaIstala BULK 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 '4:lAA.: , iti,:.:~;.~:.-..w77i: >;~.,:.m+5R"`;..wr..:'aa«ti:: :r~ x ,~v~ ~ .:~ .—~, _._...;:-at rv:.,u::... FLL 4eg~ n ry .I..$f . ~. r:..:i^.J.~a. 1ll- ~~;;n "~ iYY~' .~?.:NY~Awj I1P_w.'•:S: f1VWAjj{{Lf S I :;t f Z/ I~"O~ ^M't h

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Asbestos PLM [ I Asbestos TEM [ I Lead I I ANALYSIS REQUESTED:

Acrep*ed By ..Comments Date Time

1, am Print .

7/i 3 02 /2 : 3a sign rL L 2. am Print pm Sign

3. am Print Pm Sign

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NYC-WTC 000094254

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NYC-WTC_000094254Source: NYC Law Department, mirrored locally

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