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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_000094255

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

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Scanned page image, NYC-WTC_000094255
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NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM ' 1 59-17 JUNCTION BOULEVARD CORONA, NY 11368 X.A. aosawsstator~ BULK ANALYSIS CHAIN OF CUSTODY Date sampled: 7 13 Incident No.: -T C o - 13 0 2— Premise: 1 S' SC j ST Bore:___________

Time: 1I •O y (9NuI.-

Inspector l Lu.icH~ e1,vi - Signature Print

Immediate 24 Hours [ [ 48 Hours [ ] 1 Week [ Turnaround Tine: '4' ~4.~'rr.v_~.Lve._r.. a -1 ~: ry F. .c. D84CRIp?IOIN LO~Ay1iN SAliiLED SAAB NOI1~EZiE

1.,0113 5 oe 1 t• ~. 2.1. * 1 S40o'L 3. 1t Yg003 4. Zo11 O( cc O

S 2.011 * CIe O S wt 4 tad liwcl 4 fk60 6 - a' 6. ~e~13 . 2 'a. 7. Dl cJ ., S. ' 9_ a.o1l1, 1.oØbD' _____

(1 _I 1% '' 1t __ _ '' t, 's"_ '. it 10. 011 'tolti i Asbestos TIM [ [ Lead ( 1 ANALYSIS REQUESTED: Asbestos PLMk.

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NYC-WTC 000094255

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NYC-WTC_000094255Source: NYC Law Department, mirrored locally

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