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← Document results/DEP Box 46/395 345 SOUTH END AV 1083377, 16/100
Document / 4 pages

Bulk analysis chain of custody form, 395 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_000117613–000117616

Folder label: “395 345 SOUTH END AV 1083377, 16/100

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Scanned page image, NYC-WTC_000117613
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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. MIELL SR.PE COMMISSIONER BULK ANALYSIS CHAIN OF CUSTODY Incident No.: Premise: Time: Inspector: 395 SOUTH END AVE $600 12:45am/pm R.RAMMOHAN Print Turnaround Time: Immediate (V1 24 Houns / 1 MPLENUMBER 1.20227/A078806 2.20227/A0T8O0Y 320227/4-28008 +20227/4078009 3. 20227/4028010 0. JIDESCRIFTZON sand dmad sand kpand Samd sand saud 7. 8. 9. 10. ANALYSIS REQUESTED: Asbestos PLM| Asbestos TEM/ / Dete Tlese Accepted By 1. Print pm 2. Sign Print am pm 3. Sign Print am pm 4. Sign Print am pm 5. Sign Print AM pm Siro Date Sampled: Boro: 48 Hours | | LOCATION SAMPLED Rook Eestwig Rook west wiz, Roof Norta Rok SotE Rook mid sectin. 2/22/02 MANHATTAN parony Signature 1 Week / 1 LAB ID Lead11 Commests ACEP ARLR60 NYC-WTC_000117613

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NYC-WTC_000117613Source: NYC Law Department, mirrored locally

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