NYC 9/11 Public Portal Document
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BUREAU OF AIR, NOISE b flAZARDCUS MATERIALS
ASBESTOS/LEAD CONTROL PROGRAM
59-17 JUNCTION BOULEVARD
CORONA, NY 11368
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ASBESTOS CONTROL PROGRAM
BULK ANALYSIS CHAIN OF CUSTODY
Incident No.: TR V OQ73 P'1'103 Date sanpled:
Tim&: l2: 50 am/0
Preasisa: //q 4/(36P-TL/ S7RE7
born: /1 AN /IATTAN
Inspector: R R/71 rte','-{Ard
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Tvs~ZARO J Z TIME : 24EMS (✓l 4 ] 1 W3t ( ] 2 W.3 1 ] 4 WXS ( I
DESCRIPTION .. :-rSOGTION S?.Y.PLED LA ID
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1.0 0327lro78O71 18 al3 MR7ZIA4— I2ZAR/l
2.030327 /k'7g 0-0;. ~" .2o~ti /4L~ 1 ARlA 6Lro ft
3.030327 4"7x003
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ANALYSES REQUESTED: Asbestos PLM (✓) Asbestos TD ( ] Lead ( ]
DATE : TZbL* ACCE PTED 87 024aNTS
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NYC-WTC 000100739
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