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Invoice for asbestos sample analysis, 44 Wall Street

Machine-extracted title · confidence 100%

Invoice detailing billing for bulk and air sample analysis results including PLM, PCM, and TEM testing at 44 Wall Street.

NYC-WTC_000094912–000095002

Folder label: “44 WALL STREET Block: 43 Lot: 1

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NYC 9/11 Public Portal Document

ENv~aow~ww P,0=i0N- •. :.,.;: *• ;>,::.: •s;<;r. :.. . .: • ' s.,~r ~ry ,~ TNe Crrr or N[w YoRit' be,~a►~eNt of ROSER7 G'AYALTROrt! JOEL A. MIELE, SX, P.E. Coawdaioi~st ~r~r ~' Deputy Commissioner

Sureau•of .vE (718) Air, Noise, & Hazardous 7 t (SJ • Materials

APPLICATION FOR ASBESTOS ThJVESTTGATOR CERTIFICATION AND RESTRICTED ASBESTOS INVES'TIGAIIOR

f APPENDDC A.

MEDICAL EXAMINATION FOR ASBESTOS INVES• 1GATORS

APPUCANT NAME: A HOME ADDRESS: ----

CITY, STATE. & ZIP:

TELEPHONE NUMBER:

DATE OF BIRTH: --.-.-.-.-.-.-.-.--.-.-.-.-.-.-.-.-.-.-.-.-.-.-.---.--- SOCIAL SECURITY NO A PLT 'S SIGNATURE

t y BASED UPON THE MEDICAL EXAMINATION WHICH INCLUDED PULMONARY •FUNCTION TESTS OF VITAL CAPACITY (FVC) AND FORCED EXPIRATORY VOLUME AT ONE SECOND (FEV1), AND AN' VALUATION OF A RECENT CHEST ROENTGENOGRAM, IT IS MY OPINION THAT;,THE ABOVE NAMED PATIENT IPL AS4CHECKth APPROPRIATE BOX)

is Is rsoT PHYSIO'ALL'I QUAUFIED TO WEAR A RESPIRATOR IN THE PERFORMANCE OF HIS/HER JOB.

HEIGHT:. P11 TOBACCO: SEIZURES,YEPILEPSY ~ — ACROPHOBIA: -- ~ --

X—RAY CHEST: N 1 \ PET: --

D 01/25/01 MARK I. KAMINSKI PRINT NAME OF P DATE OF EXAMINATION

S1 P CIAN • MEDICAL/ PRE $\L OFFICES 194 NASSAU AVE. BROOKLYN, N.Y.11222 N.Y. STATE LIC.NO: 212208 Trt (719) 4RQ c77' f °( ) 341.54- STATE LICENSE NUMBER TELEPHONE NUMBER

NYC-WTC 000094987

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NYC-WTC_000094987Source: NYC Law Department, mirrored locally

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