NYC 9/11 Public Portal Document
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BUREAU OF AIR, NOISE & SAZARDOUS MATERIALS
ASBESTOS/LEAD CONTROL PROGRAM
59-17 JUNCTION BOULEVARD
CORONA, NY 11368
JOEL A. ur
CO Qfl SSIOSRR
• SR., P.B. D -UPLICATE
ASBESTOS CONTROL PROGRAM
BULK ANALYSIS CHAIN OF CUSTODY
Incident No.:_____________________ Date Sampled: 2. " O-3 "' O2 •
premise:,~6 RECb R. sT EET Time : t -•''S am4
Bore:_____________
Inspector: Cp'RR. L. Lu %C%1 v s AL C l ctvcc oL
Print Sign
TURNAROOND TII4E : 245RS j 4 4 99" t l 1 NR t 1 2 milts [ l 4 WE.S [
°'SAI~LE ZiL7t•ffiER %i`:: DESCRIPTION . ;:;LOCATION SAI48LBD • LAB ' SD
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4. X0 3 av58o39 a
5.2b2 8 0 4 0
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ANALYSES REQUESTED: Asbestos PLM [✓] Asbestos TEM [ I Lead 1 ]
DATE TD* :•. .. ' ACCEPTED BY ? COI4 NTs
PRI)IT
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DIP ALE' $LV V/V%
NYC-WTC 000117234
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