NYC 9/11 Public Portal Document
13. NAME OF LABORATORY THAT ANALYZED SAMPLE$ Sci enti f i c Laboratories, INC.
14, EI..IP # 114$0 NVLAP b Not Applicable SEAL
• 0 NYS OSPT. OF HEALTH CS TWICATION U.S. OEPT. Ô COs Ao. N.i.S.r
15. DATE(S) SAMPLES ANALYZED 6/19/2002
AND THAT T INFOR O ROV1DED HEREIN IS TRUE AND COMPLETE NYC DEP
16. 6/20/2002 C~RTIpIEO
SKiNATtJAE F C 'P. PiE0 ASBESTOS INY S sgATOR DATE
17.0 -- P3772 AA m~.t! a~
NYC DEP ASBESTOS INV rtOATQI1 CERTIFICATE NUM$5R ASBES 7i C
NOTE; STORAGE, TRANSPORTATION AND DISPOSAL OF ASBESTOS CONTAMINATED
WASTES ARE REGULATED SY THE NYC DEPARTMENT OF SANITATION (LL70/85) INVFRTh
THE PIECEMEAL CARRYING OUT OF AN OPERATION TO AVOID COVERAGE BY A STANDARD THAT
APPLIES ONLY TO OPERATIONS LARGER THAN A SPECIFIED SIZE IS A VIOLATION.
ACM = Asbestos Containing Material = Material Containing Greater than 1% Asbestos
ANY MODIFICATION OR VARIANCE FROM INFORMATION PROVIDED ON THIS FORM MUST 8E REPORTED
IMMEDIATELY IN WRITING DIRECTLY TO TILE NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION
ASBESTOS CONTROL PROGRAM t NYC DEPT OF ENVIRONMENTAL PROTECTION.
59-17 JUNCTION BLVD. - Eth FLOOR, ELMHURS1 NEW YORK 11373-5107
PORM ACP 5
ACP FIELD COPY 991
NYC-WTC 000105526
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