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Bulk analysis chain of custody form, 250 South End Ave,

Machine-extracted title · confidence 96%

Form documenting the collection and submission of bulk samples for asbestos analysis with inspector signatures.

NYC-WTC_000117398–000117399

Folder label: “250 SOUTH END av 1065089, 16/7503

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Scanned page image, NYC-WTC_000117398
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OCR status: ocr · source: ours

NYC 9/11 Public Portal Document DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF AIR, NOISE & HAZARDOUS MATERIALS ASBESTOS/LEAD CONTROL PROGRAM 59-17 JUNCTION BOULEVARD CORONA, NX 11368 JOEL A. MIELR, SR., P.E. COMMISSIONER Incident No.: 357634 Premise: 250 fouth End Boxo: Manhatte Inspector: CAne LuicHncoig Print TURNAROUND TIME: 24HRS N ABERS1 ASBESTOS CONTROL PROGRAM BULK ANALYSIS CHAIN OE CUSTODY Dato sampzed: Dec 6, 200/ fue Time: 1:45 satpm 31gn GARALS |1WKI ] 2WSI 1 4 WKS SAMPLE NUMBER 1.11206/A058001 2.11206/1058002 3.11206/A055003 4. 5. 6. 7. 8. 9. 10. DESCRIPTION Fisams 11 LOCATION SAMPLED Sowth wertflowlyand fort Moth s oulyond foil Nean Wtdalle of Comryen 1 LAB ID 814 815 8/6 ANALYSES REQUESTED: Asbestos PIM X 1 DATE, 13/7/01 TIME ACCEPTED BY 8:10 PRINT Greg Fruchtma 15/2n Asbestos TEM Lead I COMMENTS sale cust 91 BEC L9k S S S BES ACP REV 9796 NYC-WTC_000117398

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NYC-WTC_000117398Source: NYC Law Department, mirrored locally

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Single page document header identifying the subject property as 250 South End Avenue with associated block and lot numbers.

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Single page document header identifying the subject property as 250 South End Avenue with associated block and lot numbers.

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