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Asbestos bulk sample chain of custody form, 16 Warren Street

Machine-extracted title · confidence 95%

Chain of custody document tracking asbestos samples collected from 16 Warren Street for laboratory analysis.

NYC-WTC_000112674–000112677

Folder label: “16 WARREN STREET; 1078996, 135/7

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NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUR AU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIEtL SRJL COMMISSIONEI

BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled:221f- f Z

Premise: /i7 W A-F-R E AJ SSE i Boro: /A' V/M77ThV Time: J S 510 ant

Inspector. Q I R }' 11P WAW Print Signature Turnaround Time: Immediate 1 "1 24 Hours 1 I 48 Hours 1 I I Week I I

SAMPLE NUMBER I DESCRIPTION I WCATION SAMPLED LAB 1D 1.2O2 Ao770o1 2. 2 Z4 JA7787V2- Pi Js r 3. 20 2- Ao7 90V3 r v 4. 20 /.o7RovIIC q a S. 2022-Lf A-7f QDs n n 6. 2oZ A-o -7toV6 ~

7. 20 2-Z- 4A A(o;rR o o7 4 „ Qo ¢ 8. 2o22 -I, AP7 QD 9. Zo 2- .4 . /4" 7br 0V-7 f— K :nI rk 10.

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

Date Time Accepted By Comments I• am Print pm Sign 2. am Print pm Sign

3. am Print pm Sign 4. am Print pm Sign

S. am Print pm Sign

NYC-WTC 000112674

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NYC-WTC_000112674Source: NYC Law Department, mirrored locally

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