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Asbestos bulk analysis chain of custody form

Machine-extracted title · confidence 100%

Form header for asbestos bulk analysis chain of custody from the NYC DEP Bureau of Environmental Protection.

NYC-WTC_000117694–000117697

Folder label: “365 345 SOUTH END AV 16/100

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Scanned page image, NYC-WTC_000117694
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document "• • - v • ii 1" r AftUA1 MIN I AL BUREAU OF ENVIRONMENTAL PROTECTION ASBESTOS AND LEAD CONTROL COMPLIANCE '59-17 JUNCTION BOULEVARD PROGRAM CORONA, NY 11368 JOEL A. MILE. U.M. COMMISSIONER

BULK ANALYSIS CHAIN OF CUSTODY Incident No.: i'~7C Date Sampled: PreaRi:e: 3S ~tslt,. ~i~d .4' - 6 l oo i$oro: 1~T~1~y✓ Time:_ //:3o

Inspector:_ 4-!Jl'1J /h.e / ,~,i/ Print Signature Turnaround Tim,: Immediate I i4' 24 Hours I i 48 Hours I I I Week I I

i• 2oz ?.7/4 S ov/ , 2. 20227 ,4. opt S14 3. 2p 7 ALo;w oo.3 .. 4VI . 2aZ27 7pa0 N• i. 20227 A78 0DS If •k

7.

8.

10. I. ANALYSIS REQUESTED: Asbestos PLM I Asbestos TEM I I Lead I 1 Dot. Time Macpied 8 inntlts -

1. am Print Pm Sign

2. am Print pm Sign

3. am Print pm Sign

4. am Print pm Sign

5. am Print pm Sign DE/ ACLP RE% Sue

NYC-WTC 000117694

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NYC-WTC_000117694Source: NYC Law Department, mirrored locally

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