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← Document results/DEP Box 40/49 WARREN STREET; 1079151, 133/22
Document / 4 pages

Chain of custody form with site photo, 49 Warren Street,

Machine-extracted title · confidence 100%

Form documenting sample collection at 49 Warren Street including a reference to an attached site photograph.

NYC-WTC_000113330–000113333

Folder label: “49 WARREN STREET; 1079151, 133/22

Page image
Scanned page image, NYC-WTC_000113332
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE ASBESTOS AND LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NY 11368 JOEL A. MIELE. SRJL COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY )_7 O )_.. Incident No.: Date Sampled: q 1- t Premise: "}-' l — E \ W ('L- .i''Q— Boro: M

Time: 4s am4 \

lospedor: tA J Print Signature

Turnaround Time: Immediate h 24 Hours I I 48 Hours I I 1 Week I I

SAMPLE NUMBER _ DESCRIPTION LOCATION SAM LED LAB :ID

I oo r vYLt1N i nm c Cero 2.>t)- to O ►• t ~l M.l W. v 3. V — o Da

& K VIA l Qae'v _o Ri4 6.

7.

S.

9.

10.

ANALYSIS REQUESTED: Asbestos PLM I< isbestos TEM I I Lead I I

Date Tlme Acee ted By Comments

1. am Print pm Sign

2. am Print pm Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print m p Sign DEP LC\.P

NYC-WTC 000113332

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NYC-WTC_000113332Source: NYC Law Department, mirrored locally

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