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← Document results/DEP Box 40/18 WARREN ST 1077807, 135/7502 18 WARREN STREET 1077807, 135/7502
Document / 2 pages

Asbestos bulk sample chain of custody form for 18 Warren

Machine-extracted title · confidence 95%

Chain of custody document tracking asbestos samples collected from 18 Warren Street for laboratory analysis.

NYC-WTC_000112689–000112690

Folder label: “18 WARREN ST 1077807, 135/7502 18 WARREN STREET 1077807, 135/7502

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Scanned page image, NYC-WTC_000112689
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

;PARTMENT OF ENVIRONMENTAL PROTECTION Uk'AU OF ENVIRONMENTAL COMPLIANCE SBESTOS AND LEAD CONTROL PROGRAM 9-17 JUNCTION BOULEVARD CORONA, NY 11368 JDEL A. MIELE SRJ.E. COMMISSIONER

BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Date Sampled: O 2/24.ft 2

Premise: Ik Ld Ak P e/V STREET Bore:

Time: 3: atn

Inspector: /2. x}/1')/1w//4 ✓ Print Signature

Turnaround Time: Immediate I✓ I 24 Hours I I 48 Hours I I I Week I I

SAMPLE NUMBER DESCRIPTION _ I LOCATION SAMPLED LAB `[D 1. 202 X78 010 ; Y,. 2. ZOZ24 A078 "(1 i brol:S rf 3. 20 2 2.4/ M7g O12

4.2.0Z24 /,47C13 •~ s. 20 t /"7g 0I4 M 6. _ L4L 4 078 O/S

7. Zo2 2.4r A073 o/6 N 8. 2o2 ,4°78 0/7

9. 24'224',/,4o78 0 fe 6ib~ ! ^t. Qpv 10.

ANALYSIS REQUESTED: Asbestos PLM I I/ Asbestos TEM I I Lead I I Time Accepted Bs Cotn cents am Print pm Sign

am Print pm Sign

am Print pm Sign

am Print pm Sign

am Print pm Sign IE► ACLP RE% MO

NYC-WTC 000112689

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NYC-WTC_000112689Source: NYC Law Department, mirrored locally

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